IFB_4265-0000001706_FINAL_5-17-16.pdf
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- Attached to
- Child, Youth and Adult Life Vests (DGS=OTA)
- Solicitation number
- 0000001706
- Issued by
- Yolo County, California
About this file
This is an Invitation for Bid (IFB #0000001706) issued by the California Department of General Services, Procurement Division, on behalf of the California Department of Public Health for Child, Youth and Adult Life Vests. The solicitation seeks Type III USCG-approved life vests in three sizes: Child (30-50 lbs), Youth (50-90 lbs), and Adult (over 90 lbs), totaling 5,656 units (1,414 child, 1,980 youth, and 2,262 adult vests). The life vests must be made of lightweight PE foam with 200 or 210 denier nylon shell fabric and adjustable straps with quick release buckles. Bids are due June 1, 2016 by 2:00 PM PST, with a last day to submit questions of May 24, 2016. Deliveries must be made to multiple entities throughout California no later than July 8, 2016.
The solicitation includes various preference programs including Small Business (5%), DVBE incentives (up to 5%), and Target Area Contract Preference Act (TACPA). Pricing must be F.O.B. Destination with freight prepaid and all costs included. Sales tax should not be included in bid pricing but added at time of invoicing based on delivery location rates. The state reserves the right to increase/decrease quantities by 2,000 units or up to 10,000 additional units at bid prices for State Agencies and California Local Government Agencies within 365 calendar days of bid award. The solicitation is being conducted under the Alternative Protest Process per Public Contract Code §12125.
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IMPORTANT NOTICE TO ALL BIDDERS
Solicitation No. 0000001706
This solicitation/acquisition is being conducted under Public Contract Code § 12125, et seq., the Alternative Protest Process.
Submission of a bid constitutes consent of the bidder for participation in the Alternative Protest Process.
Any protests filed in relation to the proposed contract award shall be conducted under the procedures in this document for the Alternative Protest Process.
Any bidder wishing to protest the proposed award of this solicitation must submit a written Notice of Intent to Protest (facsimile acceptable) to the Coordinator before the close of business on the last day of the protest period, which will be established in the Notice of Intent to Award. Failure to submit a timely, written Notice of Intent to Protest waives the bidder’s right to protest.
Alternative Protest Process Coordinator/Dispute Resolution
Department of General Services Procurement Division Purchasing Authority Management Section 707 Third Street, 2nd Floor South West Sacramento, CA 95605 Voice: 916 / 375-4587 Fax: 916 / 376-6226
Page 1 of 11 SOLICITATION #0000001706
Form GSOP S5-PIN (01-05)
STATE OF CALIFORNIA
DEPARTMENT OF GENERAL SERVICES – PROCUREMENT DIVISION
Invitation for Bid
DUE DATE
June 1, 2016 Responses must be delivered to the Procurement Division before 2:00 PM on the Due Date
SUPPLIER NAME AND ADDRESS BU #
SOLICITATION #
0000001706
DATE
5/17/2016
DELIVERY DATE
As Specified
PAGE
REQUISITION. NO.
0000000007
AGENCY BILLING CODE
83118
AGENCY PURCHASE EST NO.
15-CPH-2715
F.O.B. DESTINATION UNLESS
BID STATES OTHERWISE
ARE YOU CLAIMING PREFERENCE
AS A CALIFORNIA CERTIFIED
SMALL BUSINESS?
YES NO
IF YES, MANUFACTURER?
YES NO
ARE YOU A NON-SMALL BUSINESS
CLAIMING AT LEAST 25% SMALL
BUSINESS SUBCONTRACTOR
PREFERENCE?
YES NO
SUPPLIER CONTACT:
PHONE:
SUPPLIER NUMBER:
____ % CASH DISCOUNT
FOR
PAYMENT WITHIN ____
DAYS
SEE REQUIRED PAYMENT
DATE OF THE GENERAL
PROVISIONS PARAGRAPH 30.
SHIP TO:
See Life Vest Distribution List – Attachment #4 NAME (PRINT)
TITLE FOR FURTHER INFORMATION, CONTACT:
PROCUREMENT OFFICIAL: Stacey Jaramillo-Solis
PHONE: 916-443-9614
EMAIL: Stacey.Jaramillo@dgs.ca.gov
SECTION 14835 ET SEQ. OF THE
CALIFORNIA GOVERNMENT CODE
REQUIRES THAT A 5% PREFERENCE BE
GIVEN TO BIDDERS WHO QUALIFY AS A
SMALL BUSINESS OR BIDDERS WHO
QUALIFY AS A NON-SMALL BUSINESS
CLAIMING AT LEAST 25% CALIFORNIA
CERTIFIED SMALL BUSINESS
PARTICIPATION. FOR REQUIREMENTS
SEE TITLE 2, CALIFORNIA CODE OF
REGULATIONS, SECTION 1896, ET SEQ.
THE REQUIREMENTS FOR NONPROFIT
VETERAN SERVICE AGENCIES
QUALIFYING AS A SMALL BUSINESS
ARE CONTAINED IN SECTION 999.50 ET
SEQ. OF THE MILITARY AND VETERANS
CODE.
SIGNATURE DATE
Return To:
DGS/PROCUREMENT DIVISION
707 3RD ST. 2ND FL (95605)
P.O. BOX 989054
W. SACRAMENTO, CA 95798
TELEPHONE NUMBER FAX NUMBER
FEDERAL EMPLOYER IDENTIFICATION NUMBER
Bidder offers and agrees if this response is accepted within 45 calendar days from the date of opening to furnish all of the items upon which prices are quoted, at the prices set opposite each item, delivered at the designated point(s) by the method of delivery and within the times specified above and subject to the attached General Provisions.
DECLARATIONS UNDER PENALTY OF PERJURY: By signing above, with inclusion of the date of signature, the above signed bidder DECLARES UNDER PENALTY OF PERJURY under the laws of the State of California as follows: (1) (STATEMENT OF COMPLIANCE). The above signed has complied with the non-discrimination program requirements of Government Code 12990 and Title 2, California Administrative Code Section 8103, and such declaration is true and correct. (2) the National Labor Relations Board declaration set forth in Paragraph 43 of the General Provisions is true and correct. (3) If a claim is made for the small business preference, the information set forth within is true and correct.
This solicitation #0000001706 is a one Time Acquisition conducted by The Department of General Services (DGS), Procurement Division, on behalf of the California Department of Public Health for Child, Youth and Adult Life Vests, as described meeting the requirements of the attached specifications 4220-3580 dated April 8, 2016.
CANCELS AND SUPERSEDES
This bid cancels and supersedes Bid Number 0000001583, due 5/10/2016.
KEY ACTION DATES
Invitation For Bid (IFB) Release May 17, 2016 Last day to submit questions May 24, 2016 Invitation For Bid (IFB) Due June 1, 2016
SOLICITATION
Also referred to as Event in Cal eProcure.
PROCUREMENT OFFICIAL
The Procurement Official is the state’s designated authorized representative regarding this procurement.
Page 2 of 11 SOLICITATION #0000001706
Bidders are directed to communicate with the Procurement Official to submit questions, deliver proposals, and submit all other formal correspondence regarding this procurement.
ALTERNATIVE PROTEST PROCESS
This solicitation/acquisition is being conducted under the provisions of the Alternative Protest Process (Public Contract Code Section 12125, et seq.) By submitting a bid or proposal to this solicitation, the bidder consents to participation in the Alternative Protest Process, and agrees that all protests of the proposed award shall be resolved by binding arbitration pursuant to the California Code of Regulations, Title 1, Division 2, Chapter 5. The link to the regulations is:
http://www.dgs.ca.gov/oah/GeneralJurisdiction/BidProtestRegs.aspx
A Notice of Intent to Award for this solicitation will be publicly posted in the Procurement Division reception area and sent via facsimile to any bidder who submits a written request for notice and provided a facsimile number.
During the protest period, any participating bidder may protest the proposed award on the following grounds:
1. For major information technology acquisitions – that there was a violation of the solicitation procedure(s) and that the protesting bidder’s bid should have been selected; or
2. For any other acquisition – that the protesting bidder’s bid or proposal should have been selected in accordance with the selection criteria in the solicitation document.
A written Notice of Intent to Protest the proposed award of this solicitation must be received (facsimile acceptable) by the Coordinator before the close of business 5 p.m. PST/PDT on the 1st working day after issuing the notice of intent, as specified in the solicitation.
Failure to submit a timely, written Notice of Intent to Protest waives bidder’s right to protest.
Bidder is to send the notice of protest to:
Alternative Protest Process Coordinator/Dispute Resolution Department of General Services Procurement Division Purchasing Authority Management Section 707 Third Street, 2nd Floor South West Sacramento, CA 95605 Fax: 916 / 376-6226
Within seven (7) working days after the last day to submit a Notice of Intent to Protest, the Coordinator must receive from the protesting bidder the complete protest filing including the signed, written detailed statement of protest including exhibits, filing fee and deposit or small business certification as applicable. Untimely submission of the complete protest filing waives the bidder’s right to protest.
Protest bond requirement: Bond amount for this Alternative Protest Process shall be 10 percent of the contract amount as specified in the solicitation. See California Code of Regulations, Title 1, Section 1418.
RESPONSIVE BIDDER
A supplier who is responsive submits a bid response compliant with the solicitation requirements and indicates performance without material deviation from the terms and conditions of the proposed contract.
RESPONSIBLE BIDDER
A supplier who is responsible and submits a responsive bid is one who clearly indicates compliance without material deviation from the solicitation’s terms and conditions and who possesses the experience, facilities, reputation, financial resources and other factors existing at the time of contract award.
ADDITIONAL TERMS AND CONDITIONS
The state objects to and will not evaluate or consider any additional terms or conditions submitted by a bidder. This applies to any language appearing in documents attached as part of the bidder’s response. In signing and submitting a bid, the bidder agrees that any additional terms and conditions whether submitted intentionally or inadvertently, shall have no force or effect. Bids with terms and conditions attached may be subject to rejection.
QUESTIONS REGARDING THE IFB
Bidders requiring clarification of the intent or content of this IFB or on procedural matters regarding the competitive IFB process may request clarification by submitting questions by the date(s) identified in the key action, via email to the Procurement Official identified in http://www.dgs.ca.gov/oah/GeneralJurisdiction/BidProtestRegs.aspx
Page 3 of 11 SOLICITATION #0000001706 this IFB. If a Bidder submits a question after the scheduled date(s), the State will attempt to answer the question but does not guarantee that the answer will be prior to the bid due date.
Note: Answers to all questions will be posted via an Event/Solicitation Addendum.
REQUEST TO CHANGE REQUIREMENTS OF THE IFB
Bidders may request to change requirements of the IFB if the Bidder believes that one or more of the IFB requirements is onerous, unfair, or imposes unnecessary constraints on the Bidder in proposing less costly or alternate solutions. The Bidder shall submit recommended change(s) and facts substantiating the recommended change by the date(s) identified in the key action dates, in an email or envelope clearly marked “Request to Change Requirements of the IFB 4265-0000001706” to the Procurement Official identified in this IFB.
ATTACHMENTS
The following documents are attached, or attached by reference, and part of this solicitation:
1. Specification 4220-3580 for Child, Youth and Adult Life Vests of one (1) page, dated 4/8/16
2. Administrative Requirements of two (2) page
3. Cost Worksheet of one (1) page
4. Life Vest Distribution List of three (3) pages
5. Bidder’s Instructions (GSPD-451) of three (3) pages, dated 11/09/2011** http://www.documents.dgs.ca.gov/pd/modellang/GSPD451-110911.pdf
6. General Provisions (GSPD-401) of seven (7) pages, dated 06/08/2010** http://www.documents.dgs.ca.gov/pd/modellang/GPnonIT060810.pdf
7. Bidder Declaration Form (GSPD-05-105 REV 03/15) of two (2) pages
8. California Disabled Veteran Business Enterprise (DVBE) Bid Incentive Instructions of three (3) pages, dated 09/03/09
9. Disabled Veteran Enterprise Declarations (Std. 843) of one (1) page, dated 05/2006 (if applicable)** http://www.documents.dgs.ca.gov/pd/poliproc/STD-843FillPrintFields.pdf
10. Postconsumer Content Certification Form (CIWMB 74) of two (2) pages, dated 4/2007
11. Darfur Contracting Act Certification of one (1) page
12. Payee Data Record (STD. 204), of two (2) pages** http://www.documents.dgs.ca.gov/dgs/fmc/pdf/std204.pdf
13. TACPA Preference Forms** http://www.documents.dgs.ca.gov/pd/dispute/mfgsum525.pdf http://www.documents.dgs.ca.gov/pd/edip/bidsum526.pdf http://www.documents.dgs.ca.gov/dgs/fmc/pdf/Std830.pdf
14. Alternative Protest Process of 10 pages
** These documents are incorporated by reference and located at the link provided.
Please note that items #2, #3, #7, 9 (If applicable), #10, #11, #12 AND #13 (if applicable) MUST be returned with the bid or the bid may be rejected.
WARRANTY
All products offered must contain, at a minimum, one (1) year warranty from the Original Equipment Manufacturer (OEM) with the option to extend warranty for additional years. The initial warranty period shall commence after acceptance of the product(s).
During the warranty period, the contractor must:
Honor all manufacturers’ warranties and guarantees on all products offered through the contract. If the manufacturer offers an on-site warranty, those warranty services must be passed on to the users of this contract. Vendor shall bear all material, labor and transportation costs for repair of defects and failures occurring within the warranty period.
PRICES
Prices shall be submitted via hard copy. Pricing shall be all inclusive. Only the prices/charges submitted in the bid response shall be accepted and included in the awarded contract.
For the purpose of this bid, only bids quoted F.O.B. Destination, Freight Prepaid, will be accepted. No charge for delivery, drayage, express, parcel post, packing, cartage, insurance, license fees, permits, cost of bonds, or for any other purpose will be paid by the State unless expressly included and itemized in the Contract. International shipments will be Delivered Duty Paid (DDP). Import Costs, duties, taxes, value added tax or any other transportation or customs costs will not be paid by the State unless expressly included and itemized in the Contract.
http://www.documents.dgs.ca.gov/pd/modellang/GSPD451-110911.pdf http://www.documents.dgs.ca.gov/pd/modellang/GPnonIT060810.pdf http://www.documents.dgs.ca.gov/pd/poliproc/STD-843FillPrintFields.pdf http://www.documents.dgs.ca.gov/dgs/fmc/pdf/std204.pdf http://www.documents.dgs.ca.gov/pd/dispute/mfgsum525.pdf http://www.documents.dgs.ca.gov/pd/edip/bidsum526.pdf http://www.documents.dgs.ca.gov/dgs/fmc/pdf/Std830.pdf
Page 4 of 11 SOLICITATION #0000001706
Sales tax is not to be included on the bid or in the bid pricing. If awarded this bid, sales tax should be added at time of invoicing. The sales tax rate applied should be based on the rate of the area where the product is to be delivered, unless the deliverable is a vehicle, in which case the sales tax rate applied should be based on the rate where the vehicle will be registered with the California Dept. of Motor Vehicles (DMV).
CALIFORNIA SELLER’S PERMIT
Bidders must provide their California retailer’s seller’s permit or certification of registration and, if applicable, the permit or certification of all participating affiliates, issued by California’s State Board of Equalization (BOE), pursuant to all requirements as set forth in Sections 6487, 7101 and Sections 6452.1, 6487.3, 18510 of the Revenue and Taxation Code, and Section 10295.1 of the Public Contract code.
In order to expedite the process of verifying the validity of the permit, provide the BOE permit number in the space provided below (or attach a copy of the permit with your bid.)
For instructions on how to obtain a California Sellers Permit number or register to do business in the State of California, visit the Board of Equalization website at www.boe.ca.gov.
Retailer’s Seller’s Permit Number: __________________________________
POSTCONSUMER-CONTENT CERTIFICATION
State agencies are required to report purchases in many product categories. In order to comply with those requirements, bidders are required to complete and return the attached Postconsumer-Content Certification form (CIWMB 74) with their bid response.
BIDDER DECLARATION FORM
All bidders must complete the Bidder Declaration Form GSPD-05-105 and include it with the bid response. When completing the declaration, bidders must identify all subcontractors proposed for participation in the contract; this includes equipment manufacturers, equipment distributors and resellers. A subcontractor is any person, firm, corporation, or organization contracting to perform any part of the prime’s contract. Bidders awarded a contract are contractually obligated to use the subcontractors for the corresponding work identified unless the State agrees to a substitution and it is incorporated by amendment to the contract.
If claiming the non-small business subcontractor preference, the form must list all the California small businesses with which you commit to subcontract in an amount of at least twenty-five percent (25%) of the net bid price. All certified small businesses must perform a “commercially useful function” in the performance of the contract as defined in Government Code Section 14837 (d)(4).
DARFUR CONTRACTING ACT CERTIFICATION
Effective January 1, 2009, all Invitations for Bids (IFB) or Requests for Proposals (RFP) for goods or services must address the requirements of the Darfur Contracting Act of 2008 (Act). (Public Contract Code sections 10475, et seq.; Stats. 2008, Ch. 272). The Act was passed by the California Legislature and signed into law by the Governor to preclude State agencies generally from contracting with “scrutinized” companies that do business in the African nation of Sudan (of which the Darfur region is a part), for the reasons described in Public Contract Code section 10475.
A scrutinized company is a company doing business in Sudan as defined in Public Contract Code section 10476. Scrutinized companies are ineligible to, and cannot, bid on or submit a proposal for a contract with a State agency for goods or services. (Public Contract Code section 10477(a)).
Therefore, Public Contract Code section 10478 (a) requires a company that currently has (or within the previous three years has had) business activities or other operations outside of the United States to certify that it is not a “scrutinized” company when it submits a bid or proposal to a State agency. (See # 1 on the Attachment).
A scrutinized company may still, however, submit a bid or proposal for a contract with a State agency for goods or services if the company first obtains permission from the Department of General Services (DGS) according to the criteria set forth in Public Contract Code section 10477(b). (See # 2 on the Attachment).
PROHIBITION ON TAX DELINQUENTS BIDDING (AB 1424)
Public Contract Code section 10295.4 provides that a state agency shall not enter into any contract for goods or services with a contractor whose name appears on either list of the 500 largest tax delinquencies pursuant to Section 7063 or 19195 of the Revenue and Taxation Code. This section applies to contracts executed on or after July 1, 2012. The Franchise Tax Board (FTB) and the California Board of Equalization (BOE) will post and periodically update lists of the 500 largest tax delinquencies on their websites as required by law. Starting on July 1, 2012 prior to executing contracts state agencies must check the FTB and BOE lists to ensure the proposed awardee/vendor is not on either list. If the proposed awardee is on either list the bid may be considered non-responsive.
http://www.boe.ca.gov/
Page 5 of 11 SOLICITATION #0000001706
CHANGE ORDERS
Any Purchase Order resulting from this bid may be amended, modified, or terminated at any time by mutual agreement of the parties in writing. Change orders amending, modifying or terminating the Purchase Order, including any modifications of the compensation payable, may be issued only by the Department of General Services State Procurement Officer. All such change orders shall be in writing and issued only upon written concurrence of the supplier. Termination, as that term is used in this section, does not include termination for default of the supplier.
Page 6 of 11 SOLICITATION #0000001706
CALIFORNIA CERTIFIED SMALL BUSINESS AND PREFERENCE(S) INFORMATION
SMALL BUSINESS PREFERENCES AND CERTIFICATION
Bidders claiming the small business preference must be certified by California as a small business or must commit to subcontract at least twenty-five percent (25%) of the net bid price with one or more California certified small businesses. Small Business Nonprofit Veteran Services Agencies (SB/NVSA) prime bidders meeting requirements specified in the Military and Veterans Code Section 999.50 et seq. and obtaining a California certification as a small business are eligible for the five percent (5%) small business preference. If applicable, claim the preference in the box on the right hand side of the first page of this solicitation.
Completed certification applications and required support documents must be submitted to the Office of Small Business and DVBE Services (OSDS) no later than 5:00 p.m. on the bid due date and the OSDS must be able to approve the application as submitted.
Questions regarding certification should be directed to the OSDS at (916) 375-4940.
SMALL BUSINESS REGULATIONS
The Small Business regulations, located in the California Code of Regulations (Title 2, Division 2, Chapter 3, Subchapter 8, Section 1896 et seq.), concerning the application and calculation of the small business preference, small business certification, responsibilities of small business, department certification, and appeals are revised, effective 9/09/04. The new regulations can be viewed at http://www.dgs.ca.gov/pd/Programs/OSDS.aspx. Access the regulations by clicking on the “Small Business Regulations” in the right sidebar. For those without internet access, a copy of the regulations can be obtained by calling the Office of Small Business and DVBE Services (OSDS) at (916) 375-4940.
SMALL BUSINESS PARTICIPATION REPORTING REQUIREMENTS
Per Government Code 14841, if a contract/purchase order is awarded from this solicitation with a commitment from the prime bidder to achieve small business participation, the contractor must within sixty (60) days of receiving final payment under this agreement (or within such other time period as may be specified elsewhere in this agreement) report to the awarding department the actual percentage of small business participation achieved.
NON-SMALL BUSINESS SUBCONTRACTOR PREFERENCE
A five percent (5%) bid preference is available to a non-small business claiming twenty-five percent (25%) California Certified small business subcontractor participation. If applicable, claim the preference in the box on the right hand side of the first page of this solicitation.
If claiming the non-small business subcontractor preference, the bid response must include a list of the small business(es) with which you commit to subcontract in an amount of at least twenty-five percent (25%) of the net bid price with one of more California certified small businesses. Each listed certified small business must perform a “commercially useful function” in the performance of the contract as defined in Government Code Section 14837(d)(4). The required list of California certified small business subcontracts must be attached to the bid response and must include the following: 1) subcontractor name, 2) address, 3) phone number, 4) a description of the work to be performed and/or products supplied, 5) and the dollar amount or percentage of the net bid price (as specified in the solicitation) per subcontractor.
Bidders claiming the five percent (5%) preference must commit to subcontract at least twenty-five percent (25%) of the net bid price with one or more California certified small businesses. Completed certification applications and required support documents must submitted to the Office of Small Business and DVBE Services (OSDS) no later than 5:00 p.m. on the bid due date, and the OSDS must be able to approve the application as submitted. Questions regarding certification should be directed to the OSDS at (916) 375-4940.
http://www.dgs.ca.gov/pd/Programs/OSDS.aspx
Page 7 of 11 SOLICITATION #0000001706
TACPA CONTRACT PREFERENCE
This solicitation contains the Target Area Contract Preference Act (TACPA) preference request forms. Please carefully review the forms and requirements. If applying for this preference, bidders must submit the preference request forms listed in the Attachments section of this document. Denial of TACPA preference requests is not a basis for rejection of the bid.
The State as part of its evaluation process reserves the right to verify, validate, and clarify all information contained in the bid. This may include, but is not limited to, information from bidders, manufacturers, subcontractors and any other sources available at the time of bid evaluation. Bidder refusal to agree to and/or comply with these terms, or failure to provide additional supporting information at the State’s request may result in the denial of the preference requested.
Contracts awarded with applied preference will be monitored throughout the life of the contract for compliance with statutory, regulatory, and contractual requirements. The State will take appropriate corrective action and apply sanctions as necessary to enforce the preference program.
Any questions regarding TACPA preference should be directed to the Department of General Services, Procurement Division at Tacpa@dgs.ca.gov.
TACPA Preference Request (STD 830):
http://www.documents.dgs.ca.gov/dgs/fmc/pdf/std830.pdf#search=std%20830&view=FitH&pagemode=none
Bidder’s Summary of Contract Activities and Labor Hours:
http://www.documents.dgs.ca.gov/pd/edip/bidsum526.pdf
Manufacturer’s Summary of Contract Activities and Labor Hours:
http://www.documents.dgs.ca.gov/pd/dispute/mfgsum525.pdf http://www.documents.dgs.ca.gov/dgs/fmc/pdf/std830.pdf#search=std%20830&view=FitH&pagemode=none http://www.documents.dgs.ca.gov/pd/edip/bidsum526.pdf http://www.documents.dgs.ca.gov/pd/dispute/mfgsum525.pdf
Page 8 of 11 SOLICITATION #0000001706
DISABLED VETERAN BUSINESS ENTERPRISE INCENTIVE INFORMATION
DVBE PARTICIPATION REQUIREMENTS
The Department elects to waive the DVBE program requirements in this solicitation, but opts to include the DVBE Incentive. To be considered for the incentive, bidders must complete and return the Bidder Declaration GSPD-05-105 (03/15), the DVBE Declarations, STD. 843 (5/2006), and signed, written confirmation (described below). The California DVBE Bid Incentive Instructions (09/03/09) include information about the DVBE incentive.
Supplier agrees to provide verification, in a form agreed to by the state, that DVBE subcontractor participation under this agreement is in compliance with the goals specified at the time of award of contract/purchase order, or with any subsequent amendment.
DVBE COMPLIANCE AND VERIFICATION
Written Confirmation:
A written confirmation from each DVBE subcontractor identified on the Bidder Declaration must be provided. The written confirmation must include the solicitation number and be signed by the Bidder and DVBE subcontractor(s). The written confirmation shall include but is not limited to the DVBE scope of work, work to be performed by the DVBE, term of intended subcontract with the DVBE, anticipated dates the DVBE will perform required work, rate and conditions of payment and total amount to be paid to the DVBE.
Failure to submit signed confirmations shall render the bid non-responsive. If further verification is necessary, the state will obtain additional information to verify compliance with the above requirements.
Disabled Veteran Business Enterprise Declarations (Std. 843):
Per the Military and Veterans Code Section 999.2, this form must be completed and signed by all disabled veteran owner(s) and disabled veteran manager(s) when a DVBE contractor or subcontractor will provide materials, suppliers, services or equipment. The completed form should be included with the bid response. Should the form not be included with the IFB, contact the State contracting official or obtain a copy online from the Department of General Services, Procurement Division, Office of Small Business and DVBE Services (OSDS) website at http://www.dgs.ca.gov/pd/Programs/OSDS.aspx.
At the State’s option prior to award, bidders may be required to submit additional written clarifying information. Failure to submit the requested written information as specified may be grounds for bid rejection.
DVBE PARTICIPATION REPORTING REQUIREMENTS
If a contract/purchase order is awarded from this solicitation with a commitment from the prime bidder to achieve disabled veteran business enterprise (DVBE) participation, pursuant to Military and Veterans Code Section 999.5, the prime contractor must within sixty
(60) days of receiving final payment under this agreement (or within such other time period as may be specified elsewhere in this agreement) certify the information contained in the “Prime Contractor’s DVBE Subcontracting Report (Rev. April 2014)”* The state reserves the right to verify all of the above information. Any person or entity that knowingly provides false information shall be subject to a civil penalty for each violation as stated in Military and Veterans Code Section 999.5(d).
*This form should be provided by and returned to the ordering agency by the prime contractor. It is the prime contractor’s responsibility to ensure the form is received, completed and returned within the stated time frame.
DVBE SUBCONTRACTOR SUBSTITUTION
The supplier understand and agrees that should award of this contract be based in part on their commitment to use the Disabled Veteran business Enterprise (DVBE) subcontractor(s) identified in their bid offer, per Military and Veterans Code section 999.5 (e), a DVBE subcontractor may only be replaced by another DVBE subcontractor and must be approved by the Department of General Services (DGS). Changes to the scope of work that impact the DVBE subcontractor(s) identified in the bid or offer and approved DVBE substitutions will be documented by contract amendment. Failure of Contractor to seek substitution and adhere to the DVBE participation level identified in the bid or offer may be cause for contract termination, recovery of damages under rights and remedies due to the State, and penalties as outlined in M&VC section 999.9; Public Contract Code (PCC) section 10115.10.
http://www.dgs.ca.gov/pd/Programs/OSDS.aspx
Page 9 of 11 SOLICITATION #0000001706
SPECIFICATION COMPLIANCE
The bidder must indicate below if the product or products offered on this bid complies in all respects with the attached specifications.
YES_________ NO*_________
If the bidder has indicated that the product offered does not comply in all respects with the attached specifications, he is to list below, in detail, any and all deviations.
*If the product does not comply you may request modifications, revisions or possible alternatives to be reviewed PRIOR to the bid submission date by submitting your request to the Procurement Official. Any deviations listed below may cause your bid to be deemed non-compliant.
LIST DEVIATIONS:
Page 10 of 11 SOLICITATION #0000001706
RESPONSE CHECKLIST
The following checklist identifies the applicable items that must be completed and returned in order to be evaluated for award:
Signed State of California – DGS Procurement Division - solicitation document (with all fill-in spaces completed) Signed Administrative Requirements of two (2) page
Cost Worksheet of one (1) page Bidder Declaration Form (GSPD-05-105 REV 03/15) of two (2) pages Disabled Veteran Enterprise Declarations (Std. 843) of one (1) page, dated 05/2006 (if applicable) Postconsumer Content Certification Form (CIWMB 74) of two (2) pages, dated 4/2007 Darfur Contracting Act Certification Payee Data Record (Std. 204) Seller Permit Information
Failure to return any of these items with your bid response may result in your bid being considered non-responsive.
The following items must be returned with the bid response only if your intention is to claim the applicable bidder preference, if you are not claiming the preference you are not obligated to fill out and/or return any of the following forms.
Target Area Contract Preference Act (TACPA), request form (Std. 830).
Manufacturer’s Summary, form (DGS/PD 525) for goods only.
Bidder’s Summary, form (DGS/PD 526) for goods and services.
Note: The State makes no warranty that the checklist is a full and comprehensive listing of every requirement specified in the IFB.
Checking off the items on the checklist does not establish your firm’s intent nor does it constitute responsiveness to the requirement(s).
The checklist is only a tool to assist participating bidders in compiling their final bid response. Bidders are encouraged to carefully read the entire IFB. The need to verify all documentation and responses prior to the submission of final bids cannot be over emphasized.
Page 11 of 11 SOLICITATION #0000001706
BID SUBMISSION INSTRUCTIONS
This document is intended to assist bidders with standard instructions for how and where to submit a bid. The state makes no warranty that following these instructions will ensure a compliant submission. Bidders are required to carefully read the solicitation document and adhere to any other submission requirements. If there is a question regarding how to submit a bid, contact the Procurement Official listed on the first page of the solicitation document for assistance.
Bidders are required to submit a complete Paper Bid by the due date and time identified in this solicitation.
Award Note: In order to receive an award, Bidder must register their company with Cal eProcure.
PAPER BID SUBMISSION
For evaluation purposes, the paper bid shall be complete and include all of the required bid submittals in order to be deemed responsive to the bid requirements. If the paper bid response is incomplete and/or includes discrepancies, you may be deemed non-responsive and subject to the rejection process.
States Own Bid Form: Only bids quoted on the State's own bid form will be considered. Bids submitted referencing supplier attachments which include legal terms and conditions that conflict with the State's General Provisions shall be considered non-responsive and such bids may be rejected. Unless otherwise stated in the bid document, please DO NOT submit bids in binders or using plastic combs.
Submission Methods: Bidder may submit their paper bid using the following methods unless stated otherwise in the bid documents.
Identify all mailed/couriered/hand-delivered bid packages by clearly writing on the outside of the envelope the Invitation for Bid Number (Ex: BU#, Event#, and the name of the Procurement Official. (see examples below)
POSTAL MAIL COURIER (FED EX/UPS/ETC.) OR HAND DELIVER
DGS Procurement Division DGS Procurement Division Attn: Bid Opening Official, 2ND Floor Attn: Bid Opening Official P.O. Box 989054 707 3rd Street, 2nd Floor West Sacramento, Ca 95798 West Sacramento, Ca 95605
BU #4265 IFB/SOLICITATION #: 0000001706 BU #4265 IFB/SOLICITATION #: 0000001706
PROCUREMENT OFFICIAL: Stacey Jaramillo-Solis PROCUREMENT OFFICIAL: Stacey Jaramillo-Solis
FACSIMILE (FAX)
Faxed bids will be considered for the solicitation only if they are sent to (916) 375-4613. Bids sent to any other fax number will not be considered. Only pages of the faxed bid received prior to the bid opening time specified in the solicitation will be considered the “complete bid”. Please be advised that there is a heavy demand placed on the fax machine receiving bids and the State assumes no responsibility if a supplier cannot transmit their bid via fax or if the entire bid is not received prior to the bid opening time.
E-mailed bids are NOT accepted.
ELECTRONIC BID PRICE SUBMISSION
Electronic bid submission is NOT accepted.
AWARD NOTIFICATION
If you would like to receive notification of the bid results and intended awardee please include a “Notice of Intent to Award” request along with your submitted bid.
STATE OF CALIFORNIA
BID SPECIFICATION
Child, Youth and Adult Life Vests 4220-3580
R. Maduell 42650000000007
PAGE 1 OF1 4/8/16
Child, Youth, and Adult Life Vests
1. SCOPE
This specification establishes the requirements for Type III life vests that will be provided by the California Department of Public Health (CDPH) to low income children throughout the state.
2. APPLICABLE SPECIFICATIONS / STANDARDS / CODES
Specifications, standards and codes referenced in this document in effect on the opening of the ‘Invitation for Bid’, form a part of this specification.
3. GENERAL REQUIREMENTS
3.1. All life vests shall be Type III PFD’s, approved by the United States Coast Guard (USCG) for general boating purposes.
Note: For information and search results of approved equipment and accepted laboratories for testing, please see the following location: http://cgmix.uscg.mil/Default.aspx
3.2. Bidder shall provide all three sizes of vests: Child, Youth and Adult
3.2.1. Child vests shall be designed to accommodate children from 30-50 lbs.
3.2.2. Youth vests shall be designed to accommodate youths from 50-90 lbs.
3.2.3. Adult vests shall accommodate youths over 90 lbs.
3.3. Flotation Material: Lightweight, durable PE foam
3.4. Shell Fabric: 200 or 210 denier nylon
3.5. Adjustable chest and waist straps: 1-in. webbed straps with quick release buckles
3.6. Child size shall include 1-in. webbed crotch strap with buckle
BU #4265 IFB #0000001706
Attachment #1
Attachment #2
ADMINISTRATIVE REQUIREMENTS
Child, Youth and Adult Life Vests
1. DISTRIBUTION REQUIREMENTS:
An assortment of sizes in each shipped order in the approximate percentages, as specified below:
Child (fits those 30-50 lbs.) –25% of order Youth (fits those 50-90 lbs.) – 35% of order Adult (fits those over 90 lbs.) – 40% of order
A. Must deliver specific quantities of product to multiple entities throughout California, as is specified in the provided spreadsheet – Attachment #4.
B. Deliveries must be made with final shipments no later than July, 8, 2016.
C. Deliveries must be made during normal business hours (Monday – Friday from 9 am – 5 pm).
D. The primary contact for each recipient must receive a notification via email upon shipment of the product, including a tracking number.
E. Deliveries must be tracked, including obtaining a receipt for each delivery.
Note: In accordance with paragraph 15 of the General Provisions entitled “Delivery”, the contractor shall strictly adhere to the delivery terms and completion schedule as specified in this solicitation.
Failure to comply with the delivery requirements, as stated, may be considered a breach of contract and subject the contractor to General Provisions 26, entitled “Rights and Remedies of the State for Default”.
2. SATISFACTION GUARANTEE: If for any reason, CDPH is not satisfied, CDPH shall notify Contractor in writing within one month of time CDPH first becomes dissatisfied. Contractor will try to resolve the problem to CDPH’s satisfaction.
3. PERIOD OF PERFORMANCE: The term of this Agreement will be effective upon the Agreement state date or upon date the Purchase Order is signed, whichever is later, through June 30, 2016.
4. BOOKS AND MANUALS: One (1) set of standard operator’s manual, applicable user instructions including specific process or procedure(s) for part ordering, requesting service etc. shall be provided in writing at the time of delivery.
5. OPTION TO INCREASE/DECEASE QUANTITIES: The State reserves the right to increase and .or decrease quantity by 2,000 unit(s) or up to 10,000 additional unit(s), at bid prices for State Agencies and California Local Government Agencies. Orders for such additional units shall be placed within 365 calendar days of bid award date.
Attachment #2
ADMINISTRATIVE REQUIREMENTS
Child, Youth and Adult Life Vests
Bidder Certification:
Please certify that you have received all three (3) pages of this document and that you have reviewed and agree to the requirements, terms and conditions within by signing below and returning all pages with the bid submission.
Printed Name
Signature
Date
Attachment #3
COST WORKSHEET
Complete the cost worksheet below. Make sure the unit cost includes shipping and handling charges.
Item Qty. UOM Description Brand Model Unit Cost Total Extended Cost
1 1,414 EA Child Life Vest $_______________ $_______________
2 1,980 EA Youth Life Vest $_______________ $_______________
3 2,262 EA Adult Life Vest $_______________ $_______________
TOTAL COST (Enter the Total Cost including Shipping and Handling) $_______________
Life Vest Distribution_FINAL; Life Vests
4/12/2016
Life Vest Distribution List 03/11/16
Life Vest Awarded Quantity Name of Organization/Entity Delivery Contact Person
Delivery Contact Person Phone Number Delivery Contact Person Email
Delivery Street Address (No P.O. Box) Delivery City
Deliver y State (Initials
Delivery Zip Code
Alt Delivery Contact Person (in case Delivery Contact Person is not
Alt Delivery Contact Person Phone Number
20 TRUCKEE POLICE DEPARTMENT Caitlin Safford (530) 550-2323 csafford@townoftruckee.com 10183 Truckee Airport Road Truckee CA 96161 Brenda Lee (530) 550-2323
40 Youth for Change- Paradise Ridge Family Resource Center
Kelly Doty (530) 872-3896 kdoty@youth4change.org 6249 Skyway Paradise CA 95969 Joyce Trevino (530) 872-3896
60 Valley Oak Children's Services Pattie Prince (530) 895-3572 pprince@valleyoakchildren.org 3120 Cohasset Rd. Suite 6 Chico CA 95973 Connie Roberson (530) 899-4924
40 Plimas County Public Health Agency
Tina Venable (530) 283-6330 tinavenable@countyofplumas.com 270 County Hospital Road, suite
Quincy CA 95971 Jana McDowell (530) 283-6330
40 Greenville Jennifer Gagliano (530) 526-8600 jgagliano@greenvillerancheria.com 1425 Montgomery Rd Red Bluff CA 96080 Stormy King (530) 526-8600
500 Colusa County CAPC Carissa Bowers (530) 458-7678 colusacapc@yahoo.com 217 9th Street, suite D Colusa CA 95932 Donna Dennis (530) 458-0290
100 Lassen County Public Health Christi Myers (530) 251-8186 cmyers@co.lassen.ca.us 1445 Paul Bunyan Rd Susanville CA 96130 Maryann Kiar (530) 251-8547
68 Redding Rancheria Elizabeth Hester (530) 225-6803 elizabethh@redding-racheria.com 2000 Redding Rancheria Rd. Redding CA 96001 Diane Coe (530) 242-4593
60 City of Blue Lake Parks & Recreation
Cameron Mull (707) 668-5655 cmull@bluelake.ca.gov 111 Greenwood Ave Blue Lake CA 95525 April Sousa (707) 668-5655
40 CA State Parks Loren Rex (707) 937-3118 loren.rex@parks.ca.gov 12301 North Hwy 1 Mendocino CA 95460 Martha Stallcop (707) 937-5804
80 K'ima:w Medical Center Russell Marshall (530) 625-4261 russell.marshall@kimaw.org 535 Airport Road Hoopa Ca 95546 Jessica Mosier (530) 625-4261
44 Hoopa Tribal Early Head Start Misty Masten (530) 625-1609 mistybibancos@yahoo.com 777 Loop RD Hoopa CA 95546 Angel Korb (530) 625-1609
240 Sonoma County Regional Parks Foundation
Pam McBride (707) 565-1355 pam.mcbride@sonoma-county.org 2300 County Center Drive, Suite 120A
Santa Rosa CA 95403 Melissa Kelley (707) 565-1830
80 Pinoleville Native American Head Start/ EHS Program
Jennifer McGowan (707) 463-1454 jenniferm@pinoleville-nsn.us 500 A Pinoleville dr Ukiah ca 95482 Robin Thomas (707) 463-1454
80 River to Coast Children's Services Soledad Cardona (707) 869-3613 scardona@rccservices.org 16300 1st Street Guerneville CA 95446 Agnese Daniel (707) 869-3613
20 Hoopa Tribe/Hoopa Tribal After School Program
Shelly Carpenter (530) 625-1009 shellymattzcarpenter@gmail.com 521 Loop Road Hoopa CA 95546 Tashina Andreoli (530) 625-1009
224 United Indian Health Services Theressa Green (707) 825-4085 theressa.green@crihb.org 1600 Weeot Way Arcata Ca 95521 Yvonne Bones (707) 825-5070
40 Alameda Community Sailing Center
Kame Richards (510) 522-2200 kame@pineapplesails.com 2526 Blanding Ave Alameda CA 94501 Sally Richards (510) 522-2200
60 Morgan Hill Aquatics Center Lisa Rick (408) 310-4301 lisa.rick@morganhill.ca.gov 16200 Condit Road Morgan Hill CA 95037 Anthony Eulo (408) 310-4179
Attachment # 4
4/12/2016
Life Vest Distribution List 03/11/16
Life Vest Awarded Quantity Name of Organization/Entity Delivery Contact Person
Delivery Contact Person Phone Number Delivery Contact Person Email
Delivery Street Address (No P.O. Box) Delivery City
Deliver y State (Initials
Delivery Zip Code
Alt Delivery Contact Person (in case Delivery Contact Person is not
Alt Delivery Contact Person Phone Number
48 Aptos/La Selva Fire Protection District
Sarah Melton (831) 685-6690 sarahm@aptosfire.com 6934 Soquel Dr. Aptos CA 95003 Erin Collins (831) 685-6690
20 Monterey Fire Department Kathleen Battaglia (831) 646-3900 battagli@monterey.org 610 Pacific Street Monterey CA 93940 Carol Allaire (831) 646-3900
60 Monterey County Association of Families Caring for Children
Susan Derichsweiler/Margie Wiebusch
(831) 770-7039 sderichsweiler@hartnell.edu 411 Central Ave Salinas CA 93901 Richard (831) 770-7039
60 California Rural Indian Health Board
Julie Villa (916) 929-9761 julie.villa@crihb.org 4400 Auburn Blvd 2nd floor Sacramento CA 95841 Kathy Greer (916) 929-9761
30 Banta Elementary School District Diana Parker (209) 401-3316 dhollingsheadparjer@sjcoe.net 22345 S El Rancho Rd Banta CA 95304 Elizabeth Lopez (209) 229-4650
100 California Tribal TANF Partnership
Joni Drake (209) 257-6150 jdrake@cttp.net 601 Court St, Ste #150 Jackson CA 95642 Antoinette Lopez (209) 257-6150
200 Safe Kids Stanilaus Rena Lepard- Trauma (209) 342-3459 rena.lepard@tenethealth.com 1441 Florida Ave Modesto CA 95350 Rosa Rueda (209) 576-3776
100 Stanislaus County Police Activities League
Alfredo Guerra (209) 529-0285 aguerra@stancopal.org 1325 Beverly Drive Modesto CA 95351 Tawyna Bold (209) 529-9121
100 WellSpace Health North Highlands Birth& Beyond Family Resource Center
Afi-saran Farrar (916) 426-6140 afarrar@wellspacehealth.org 6015 Watt Avenue North Highlands Ca 95660 Tracie Hall - Burks (916) 679-3925
200 Clements Volunteer Firefighter assocation
David Ingrum (209) 759-3371 dingrum@sjgov.org 18901 E 88 Clements CA 95227 On duty crew (209) 759-3800
78 River Oak Center for Children Alice Gentry (916) 609-5129 agentry@riveroak.org 5445 Laurel Hills Drive Sacramento CA 95841 Kim Turner (916) 533-6259
60 Cuyama Valley Family Resource Center martha yepez (805) 345-1961 myepez@sbcsocialserv.org 4689 Highway 166 Unit B New Cuyama ca 93254 Lynn Carlisle (805) 722-0509
60 Lompoc Valley Community Healthcare Organization
Emily Casarez (805) 757-8710 casareze@lvcho.org 1593 East Chestnut Avenue Lompoc CA 93436 Ashley Costa (805) 736-5085
30 La Jolla Family YMCA Nicole Bogdanoff (858) 535-2932 nbogdanoff@ymca.org 8355 Cliffridge Ave La Jolla Ca 92037 Jason Milosh (858) 453-3483
60 Rady Children's Hospital San Diego
Mary Beth Moran (858) 576-1700 mbmoran@rchsd.org 3020 Children's Way San Diego CA 92123 Dan Teisan (8585761) 700-4508
100 Friends of San Diego County Foster Parents
Pam Sokol (619) 322-4675 pmssokool@cox.net 1928 Dartmoor Dr. Lemon Grove CA 91945 Maryjo Meer (858) 735-6976
600 La Maestra Family Clinic, Inc. Corinne Knutson (808) 497-3360 cknutson@lamaestra.org 1425 Corporate Center Dr. Suite #200
San Diego CA 92154 Marty Stroud (619) 584-1612
200 McFarland Recreation and Park District
Jef Nickell (661) 792-3187 jnickell@mcfarlandrpd.com 100 South Second Street McFarland CA 93250 Mona Guillen (661) 792-3187
60 Mariposa County Parks & Recreation
Shannon Hansen (209) 966-2498 shansen@mariposacounty.org 4998 County Park Rd Mariposa CA 95338 April Hawley (209) 966-2498
4/12/2016
Life Vest Distribution List 03/11/16
Life Vest Awarded Quantity Name of Organization/Entity Delivery Contact Person
Delivery Contact Person Phone Number Delivery Contact Person Email
Delivery Street Address (No P.O. Box) Delivery City
Deliver y State (Initials
Delivery Zip Code
Alt Delivery Contact Person (in case Delivery Contact Person is not
Alt Delivery Contact Person Phone Number
40 Bakersfield Recreation and Parks Department
Terri Elison (661) 852-7435 telison@bakersfieldcity.us McMurtrey Aquatic Center 1325 Q Street Suite 200
Bakersfield CA 93301 Becky Nickell (661) 852-7430
60 Clinica Sierra Vista/Family Resource Center
Jennifer Abapo (661) 322-3276 jennifer.abapo@clinicasierravista.org 1509 E. 11th st Bakersfield Ca 93307 CeCe Ramos (661) 322-3276
50 City of Kingsburg Ashlee Winslow - Schmal (559) 897-6549 aschmal@cityofkingsburg-ca.gov 1401 Draper St. Kingsburg CA 93631 Kristin Hernandez (559) 897-5821
400 Community Regional Medical Center
Eliana Troncale (559) 459-4450 etroncale@communitymedical.org 2823 Fresno Street Fresno Ca 93721 Jennifer Hamilton Freeman
(559) 459-4347
58 Kern Balley Aquatics Program Lynette Thomas (760) 299-2030 netrie03@gmail.com 5225 Kelso Valley Rd Weldon Ca 93283 Debbie Kennedy (760) 378-4000
100 Rialto Fire Department Pat Villanueva (909) 820-2695 pvillanueva@confire.org 131 S. Willow Avenue Rialto CA 92376 Art Poduska (909) 301-3853
80 Arrowhead Regional Medical Center-Trauma Services
Vickie Smitrh (909) 580-1376 SmithVi@armc.sbcounty.gov 400 North Pepper Ave. Medical Office Building Suite 312
Colton CA 92324 Richard Vara (909) 580-3282
100 County of Riverside Department of Public Health
Richard Henson (951) 413-2715 rhenson@rivcocha.org 14539 Innovation Drive Riverside CA 92518 Raymond Rosales (951) 413-2747
60 Behavioral Health Services - Family Health Center
Elaine Ruggiero (310) 693-1654 eruggiero@bhs-inc.org 2501 W. El Segundo Blvd., Suite B
Hawthorne CA 90250 Christy Hernandez (424) 456-8933
20 City of Pasadena Ambassador Youth program
Lola Osborne (626) 744-4791 losborne@cityofpasadena.net 100 North Garfield Avenue, S228 Pasadena CA 91109 Deandra McClenney (626) 744-6879
20 Friends of the Miracle Mile Sheryl Turner (626) 437-3509 spt@spturnergroup.com 1402 North Mentor Avenue Pasadena CA 91104 Chase Turner (310) 347-6468
300 Children's Hospital Los Angeles Helen Arbogast (323) 361-4697 harbogast@chla.usc.edu 4650 Sunset Blvd., MS 85 Los Angeles CA 90027 Chantel Ponder (32) 361-4720
100 Cypress Park Club House Hector Salazar (323) 226-0761 hector.salazar@lacity.org 3320 Pepper Avenue Los Angeles CA 90065 Dannette Garcia (323) 226-0761
40 Walter Head Start Tiffany Le (714) 761-4967 tiffany.le@ochsinc.org 9200 Pacific Place Anaheim CA 92804 Holly Mendez (714) 761-4967
200 Orange County Fire Authority Jay Barkman (714) 573-6048 jaybarkman@ocfa.org 1 Fire Authority Road Irvine CA 92602 Sandy Cooney (714) 573-6801
26 Magnolia School District/Project
HERO
Cristina Sanchez (714) 713-5353 cvsanchez@magnoliasd.org 1411 S. Gilbert St. Anaheim CA 92804 Orlando Franco (714) 527-5143
State of California—Department of General Services, Procurement Division
GSPD–05–105 (REV 03/15)
BIDDER DECLARATION
1. Prime bidder information (Review attached Bidder Declaration Instructions prior to completion of this form):
a. Identify current California certification(s) (MB, SB, NVSA, DVBE): or None (If “None”, go to Item #2)
b. If you are a California certified DVBE, percentage of DVBE participation and/or incentive claimed? %
c. Will subcontractors be used for this contract? Yes No (If yes, indicate the distinct element of work your firm will perform in this contract e.g., list the proposed products produced by your firm, state if your firm owns the transportation vehicles that will deliver the products to the State, identify which solicited services your firm will perform, etc.). Use additional sheets, as necessary.
d. If you are a California certified DVBE: (1) Are you a broker or agent?
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