IFB_Attachments_C4310-110909.pdf

ATTACHMENT 1

BID SUBMISSION ATTACHMENT CHECKLIST

A complete bid submission will consist of the items identified below. Complete this checklist to confirm the items in your bid. Place a check mark or “X” next to each item that you are submitting to the State. For your bid to be responsive, all required attachments must be returned. This checklist should be returned with your bid submission.

Attachment Required Attachment Name/Description

_____ Attachment 1 YES Bid Submission Attachment Checklist

_____ Attachment 2 YES Bidder Declaration

_____ Attachment 3 YES Payee Data Record

_____ Attachment 4 YES Contractors Certification Clause

_____ Attachment 5 YES Proof of Insurance

_____ Attachment 6 YES Cost Sheet

_____ Attachment 7 YES BID FORM

_____ Attachment 8 YES Nondiscrimination Compliance Statement

_____ Attachment 9 Yes GenAI Disclosure & Factsheet STD1000

_____ Attachment 10 IF APP Darfur Contracting Act Certification

ATTACHMENT 2

BIDDER DECLARATION

A Bidder must complete the Bidder Declaration form GSPD-05-105, located at the following internet site: http://www.documents.dgs.ca.gov/dgs/fmc/gs/pd/gspd05- 105.pdf

If you do not have Internet access, a hard copy can be provided by contacting the Acquisition Analyst listed on the Notice to Prospective Bidders.

When completing the declaration, Bidders must identify all subcontractors proposed for participation in the 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.

The completed Bidder Declaration GSPD-05-105 must be included in the bid submission, noted as Attachment 2.

http://www.documents.dgs.ca.gov/dgs/fmc/gs/pd/gspd05-105.pdf http://www.documents.dgs.ca.gov/dgs/fmc/gs/pd/gspd05-105.pdf

ATTACHMENT 3

PAYEE DATA RECORD

A Bidder must complete the Payee Data Record form STD 204, located at the following internet site:

http://www.documents.dgs.ca.gov/dgs/fmc/pdf/std204.pdf .

If you do not have Internet access, a hard copy can be provided by contacting the Acquisition Analyst listed on the Notice to Prospective Bidders.

The completed Payee Data Record STD 204 must be included in the bid submission, noted as Attachment 3.

Additional Remittance Address Information

PAYEE DATA RECORD SUPPLEMENT

If contractor obtains multiple active remittance address locations, a payee data record supplement STD 205 is required. Email the contract analyst for the form.

http://www.documents.dgs.ca.gov/dgs/fmc/pdf/std204.pdf

ATTACHMENT 4

CONTRACTORS CERTIFICIATION CLAUSE

A Bidder must complete the Contractor’s Certification Clause, located at the following internet site: https://www.dgs.ca.gov/-/media/Divisions/OLS/Resources/CCC- 042017.pdf

If you do not have Internet access, a hard copy can be provided to you.

If applicable, the completed Contractor’s Certification Clause must be included in the bid submission, noted as Attachment 4.

https://www.dgs.ca.gov/-/media/Divisions/OLS/Resources/CCC-042017.pdf https://www.dgs.ca.gov/-/media/Divisions/OLS/Resources/CCC-042017.pdf

ATTACHMENT 5

PROOF OF INSURANCE

A Bidder must submit current proof of insurance as Attachment 5 for the following:

• Commercial General Liability

• Commercial Automobile Insurance

• Worker’s Compensation

A certificate of insurance (COI) may be provided as proof of insurance. The COI and/or proof of insurance documents will be named Attachment 5 and be submitted with the bid submission. Endorsements to insurance policies are not required for bid submission.

Certificates of Insurance with Endorsements are required post award as follows:

Commercial General Liability Certificate with limits of not less than $1,000,000 with:

o An additional insured endorsement.

o A Primary and Non-contributory endorsement.

Commercial Auto Liability Certificate with limits of not less than $1,000,000 for Owned, Non-Owned, and Scheduled autos with:

o An additional insured endorsement.

Worker’s Compensation Certificate with Employer’s Liability coverage of $1,000,000 per accident with:

o A waiver of subrogation in favor of the State for all work performed by the contractor, its employees, agents and subcontractors.

Endorsements must include "State Of California, It's Officers, Agents, And Employees" or ““… where required by written contract… ” language

Contact your insurance representative to ensure your insurance program satisfies the requirements of the sample contract, prior to bidding.

ATTACHMENT 6

BID-COST SHEET

Total Contract Cost: $__________________ Includes cost of insurance, sales tax, travel, and every other item of expense, direct or indirect, incidental to the Bid Price.

ATTACHMENT 7

BID FORM

EMAIL TO: Kiran.Varghese@ccc.ca.gov BEFORE 2:00 P.M., November 21st,2024

Email must read as follows:

Bid C4310-110909 DO NOT OPEN UNTIL 11/21/2024 @2:00PM

Email must also include the required attachment list

The undersigned hereby proposes and agrees to furnish all labor, materials, and equipment, and to perform all work required for the Contract in the manner and time prescribed in the Scope of Work. The Bid Price, set forth below in clear legible figures, includes the cost of insurance, sales tax, and every other item of expense, direct or indirect, incidental to the Bid Price.

SEE ATTACHMENT 6 OF BID PACKET TO COMPLETE COST SHEET

IMPORTANT – READ BEFORE SIGNING: Bid Form must be executed in same name-style in which the bidder is licensed. Bidder bidding jointly or as a combination of several business organizations is specifically cautioned that such bidder must be jointly licensed in the same form and style in which the bid is executed. If making a bid as a joint venture, each person submitting the bid shall provide the information required below with respect to their licensure. The undersigned Bidder certifies and agrees to provide the information and comply with the requirements contained in Articles of Article 2; Article 4, Paragraph 4.2;Article 7and Article 9, Paragraph 9.2.1are true.

Legal Name of Bidder:________________________ Federal I.D No.:_____________

License No.:

License Expiration Date:

Licensee Classification:

Business Address: ______________________________________________________

THE STATE OF CALIFORNIA

CALIFORNIA CONSERVATION CORPS

BUSINESS SERVICES AND CONTRACTS

FROM: _____________________________

(Name of Bidding Firm) mailto:Kiran.Varghese@ccc.ca.gov

(Street and/or P.O Box) (City) (State) (Zip)

E-Mail Address: ________________________________________________________

Business Phone No.: ______________________ Facsimile No.:___________________

SIGN HERE ---- ________________________________________________

Signature of Bidder

Print Name and Title of Bidder

ARTICLE 1–BIDDER’S BUSINESS IDENTIFICATION

THIS BID IS SUBMITTED BY (check one):

___: Individual ___: Partnership

___: Joint Venture ___: Corporation

State in which Incorporated

NOTE: If Bidder is a corporation, the State in which incorporated shall be inserted above and the legal name of the corporation shall be set forth on Page 1 of Attachment 7.1, together with the signature of the officer or officers authorized to sign contracts on behalf of the corporation; if Bidder is a partnership, the true name of the firm shall be set forth on Page 1, together with the signature of a partner authorized to sign contract in behalf of the partnership; and if Bidder is an individual, that person’s signature shall be placed on page 1 of Attachment 7.1. If signature is by an agent, other than an officer of a corporation or a member of a partnership, a Power of Attorney must be on file with the Department prior to opening bids or submitted with the bid; otherwise, the bid will be regarded as irregular and unauthorized. If bid is submitted by partnership or joint venture, the members are:

ARTICLE 2–PREFERENCES AND INCENTIVES REMOVED IN ITS ENTIRETY

ARTICLE 3 – CERTIFICATIONS – BID DEPOSITORY AND FEDERAL COURT

FINDINGS

3.1 By signing this Bid Form, Bidder certifies that in preparation of this Bid Form, no bid was received by the bidder from a bid depository, which depository (as to any portion of the work) prohibits or imposes sanctions for the obtaining by bidder, or the submission to bidder by any subcontractor or vendor or supplier of goods and services, of a bid outside the bid depository. This certification shall constitute a warranty, the falsity of which shall entitle the State to pursue any remedy authorized by law, and shall include the right, at the option of the State, of declaring any contract made as a result thereof to be void.

3.2 By signing this Bid Form, Bidder swears under penalty of perjury that representations of the bid with respect to bidder's license are true and that no more than one final un-appealable finding of contempt of court by a Federal Court has been issued against the Contractor within the immediately preceding two-year period because of the Contractor's failure to comply with an order of a Federal Court which orders the Contractor to comply with an order of the National Labor Relations Board.

3.3 By signing this Bid Form, Bidder acknowledges that in in accordance with the provisions of Section 3700 of the Labor Code, every contractor will be required to secure the payment of compensation to his employees. The Bidder agrees that they are aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers’ compensation or to undertake self-insurance in accordance with the provisions of that code, and will comply with such provisions before commencing the performance of the work of this contract.

3.4 By signing this Bid Form, Bidder certifies they will not ask an applicant for onsite construction-related employment to disclose orally or in writing information concerning the conviction history of the applicant on or at the time of an initial employment application.

This section shall not apply to a position for which the person or the state is otherwise required by state or federal law to conduct a conviction history background check or to any contract position with a criminal justice agency, as that term is defined in Section 13101 of the Penal Code. This section shall not apply to a person to the extent that he or she obtains workers from a hiring hall pursuant to a bona fide collective bargaining agreement.

ARTICLE 4 – STATEMENT OF COMPLIANCE – NONDISCRIMINATION

Bidder (hereinafter referred to as "prospective contractor" in this Statement), by signing this Bid Form, hereby certifies, unless specifically exempted, compliance with Government Code Section 12990 (a-f), and CCR, Title 2, Division 4.1,Chapter 5 and Subchapter 5, Section 11102, in matters relating to reporting requirements and the development, implementation and maintenance of a Nondiscrimination Program; as set forth in the General Conditions of the Contract for Construction. Prospective contractor agrees not to unlawfully discriminate, harass or allow harassment against any employee or applicants for employment because of sex, race, color, ancestry, religious creed, national origin, physical disability (including HIV and AIDS), medical disability (cancer), age (over 40), marital status, and denial of family care leave.

ARTICLE 5 – QUESTIONNAIRE

5.1 In accordance with Public Contract Code, Section 10162, the Bidder shall complete the following questionnaire:

6.1.1 Has the Bidder, any officer of the Bidder, or any employee of the Bidder who has a proprietary interest in the Bidder, ever been disqualified, removed, or otherwise prevented from bidding on, or completing a Federal, State or Local government project because of a violation of law or a safety regulation?

_____ YES _____ NO

6.1.2 Has the Bidder, any officer of the Bidder, or any employee of the Bidder who has a proprietary interest in the Bidder, ever received a safety violation or failed to file notifications to the Cal-OSHA, Federal OSHA, or EPA Agencies for employee records as required by CCR, Title 8, Section 5208 and CFR 40, Part 61?

_____ YES _____ NO

If the answer to either 6.1.1 or 6.1.2 above is “Yes”, then give the date(s) of the citation(s) or failure to make notifications, and explain the circumstances by attachment to this Bid Form.

ARTICLE 6 – NON-COLLUSION DECLARATION TO BE EXECUTED BY BIDDER

AND SUBMITTED WITH BID

By signing this Bid Form, Bidder, being first duly sworn, deposes and says that he or she is the authorized representative of the Bidder, the party making the foregoing bid, that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and is not collusive or sham; that the Bidder has not directly or indirectly induced or solicited any other Bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any Bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the Bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the Bidder or any other Bidder, or to fix any overhead, profit, or cost element of the bid price, or that of any other Bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the Bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid.

ARTICLE 7 – ADDENDA

In submitting this bid, Bidder represents that Bidder has examined copies of all the Contract Documents and acknowledges receipt of the following addenda:

Addendum No.: ___________________

Date:

*If addendum was issued during the bidding process, contractor must enter the addendum number above to ensure contractor is bidding on the most recent and correct addendum.

Failure to acknowledge on the Bid Form receipt of an addendum shall not in itself be cause for withdrawal or rejection of bids, if it can be shown that bidder did, in fact, receive such addendum prior to bid opening.

ATTACHMENT 8

NONDISCRIMINATION COMPLIANCE STATEMENT

A Bidder must complete the Nondiscrimination Compliance Statement (STD 19), located at the following internet site:

https://www.documents.dgs.ca.gov/dgs/fmc/pdf/std019.pdf

If you do not have Internet access, a hard copy can be provided by contacting the Acquisition Analyst listed on the Notice to Prospective Bidders.

Unless specifically exempted, prospective contractor agrees not to unlawfully discriminate, harass, or allow harassment against any employee or applicant for employment because of sex, race, color, ancestry, religious creed, national origin, physical disability, medical condition, age, marital status, denial of family care leave and denial of pregnancy disability leave.

The completed Nondiscrimination Compliance Statement must be included in the bid submission, noted as Attachment 8.

https://www.documents.dgs.ca.gov/dgs/fmc/pdf/std019.pdf

ATTACHMENT 9

GENAI DISCLOSURE & FACTSHEET

A Bidder must complete the GenAI Disclosure & Factsheet STD1000, located at the following internet site: https://www.documents.dgs.ca.gov/dgs/fmc/pdf/std1000.pdf

If you do not have Internet access, a hard copy can be provided by contacting the Acquisition Analyst listed on the Notice to Prospective Bidders.

The completed GenAI Disclosure & Factsheet STD1000 must be included in the bid submission, noted as Attachment 9.

https://www.documents.dgs.ca.gov/dgs/fmc/pdf/std1000.pdf

ATTACHMENT 10 (IF APPLICABLE)

DARFUR CONTRACTING ACT CERTIFICATION

Public Contract Code Sections 10475 -10481 applies to any company that currently or within the previous three years has had business activities or other operations outside of the United States. For such a company to bid on or submit a proposal for a State of California contract, the company must certify that it is either a) not a scrutinized company; or b) a scrutinized company that has been granted permission by the Department of General Services to submit a proposal.

If your company has not, within the previous three years, had any business activities or other operations outside of the United States, you do not need to complete this form.

If your company has within the previous three years, had any business activities or other operations outside of the United States, you must complete this form located at the following internet site: https://www.dgs.ca.gov/- /media/CBAFDC111B6C43B09496B8391E11F394.ashx

If you do not have Internet access, a hard copy can be provided to you.

If applicable, the completed Darfur Contracting Act Certification must be included in the bid submission, noted as Attachment 10.

https://www.dgs.ca.gov/-/media/CBAFDC111B6C43B09496B8391E11F394.ashx https://www.dgs.ca.gov/-/media/CBAFDC111B6C43B09496B8391E11F394.ashx