IFB_C6669-130304.pdf

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CCC Delta Pre-Enrollment Physicals
Solicitation number
0000039650
Issued by
San Joaquin County, San Joaquin City, California

About this file

This Invitation for Bid (IFB) is issued by the California Conservation Corps (CCC) Delta Center for pre-enrollment physical examination services for Corpsmember Trainees. The contractor must provide all labor, materials, tools, and incidentals necessary to conduct physical examinations for both CCC Fire Crew Corpsmember and CCC Standard Corpsmember positions at the Delta Center located at 7000 New Castle Road, Stockton, California. Services must be performed by a physician licensed by the Medical Board of California or the Osteopathic Medical Board of California, a nurse practitioner licensed by the California Board of Registered Nurses, or a Physician's Assistant licensed by the California Physician's Assistant Committee. The IFB was made available to prospective bidders on June 24, 2026, with a question submission deadline of July 1, 2026 at 4:00 PM, Q&A posting by July 6, 2026, and bid submission deadline of July 10, 2026 at 2:00 PM. The contract term runs from approval through June 30, 2028.

The estimated contract value is $50,000, allocated as $25,000 for Fiscal Year 2026/27 and $25,000 for Fiscal Year 2027/28, with compensation based on actual expenditures and monthly invoicing in arrears. The CCC is committed to providing contracting opportunities to California Certified Small Businesses and Disabled Veteran Business Enterprises (DVBE), with a 5% small business preference available to certified small businesses, a 5% non-small business subcontractor preference for non-small businesses committing to 25% small business subcontractor participation, and DVBE incentive awards ranging from 1% to 5% based on verified DVBE participation levels. The contractor must maintain commercial general liability insurance of at least $1,000,000 per occurrence, automobile liability insurance of at least $1,000,000 combined single limit, workers' compensation coverage, and professional liability insurance of at least $1,000,000 per occurrence. All bids must include required certifications and documentation, and award will be made to the lowest responsive responsible bidder after application of applicable preferences and incentives.

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INVITATION FOR BID

NOTICE TO PROSPECTIVE BIDDERS

CALIFORNIA CONSERVATION CORPS

CCC Delta Center

7000 New Castle Rd, Stockton, CA 95216

Pre-Enrollment Physicals Contract # C6669-130304

Bid Opening Date: 07/10/2026 @ 2:00PM

You are invited to review and respond to this Invitation for Bid (IFB) for Pre-Enrollment Physicals offered by the California Conservation Corps (CCC).

Note that all agreements entered into with the State of California will include by reference General Terms and Conditions (GTC 02/2025) and Contractor Certification Clauses (CCC 4/2017) that may be viewed and downloaded at the following internet site:

https://www.dgs.ca.gov/OLS/Resources/Page-Content/Office-of-Legal-Services-Resources-List- Folder/Standard-Contract-Language.

The California Conservation Corps is committed to providing contracting opportunities to California Certified Small Businesses and Disabled Veteran Business Enterprises (DVBE).

Bidders are encouraged to carefully read the entire solicitation. The need to verify all documentation and responses prior to the submission of bids is the responsibility of the bidder and cannot be overemphasized.

In submitting your bid, you must comply with the instructions and requirements found herein. In the opinion of the California Conservation Corps, this IFB is complete and without need of explanation. However, if you have questions or need any clarifying information, please direct all questions through email to bidquestions@ccc.ca.gov by the date and time listed in Section 2 Paragraph A Key Action Dates. Please note that no verbal information given will be binding upon the State unless such information is issued in writing as an official addendum.

No questions will be addressed via phone calls or in person on or before the bid. All questions and answers must come through the above-mentioned email only.

Keeping the process fair for all. We will not accept questions via phone calls or in person.

Executive Order N-6-22 – Russia Sanctions On March 4, 2022, Governor Gavin Newsom issued Executive Order N-6-22 (the EO) regarding Economic Sanctions against Russia and Russian entities and individuals. “Economic Sanctions” refers to sanctions imposed by the U.S. government in response to Russia’s actions in Ukraine, as well as any sanctions imposed under state law. By submitting a bid or proposal, Contractor represents that it is not a target of Economic Sanctions. Should the State determine Contractor is a target of Economic Sanctions or is conducting prohibited transactions with sanctioned https://www.dgs.ca.gov/OLS/Resources/Page-Content/Office-of-Legal-Services-Resources-List-Folder/Standard-Contract-Language https://www.dgs.ca.gov/OLS/Resources/Page-Content/Office-of-Legal-Services-Resources-List-Folder/Standard-Contract-Language mailto:bidquestions@ccc.ca.gov individuals or entities, that shall be grounds for rejection of the Contractor’s bid/proposal any time prior to contract execution, or, if determined after contract execution, shall be grounds for termination by the State.

GenAI Disclosure

The State of California seeks to realize the potential benefits of GenAI, through the development and deployment of GenAI tools, while balancing the risks of these technologies.

Bidder/Offeror must notify the State in writing if it: (1) intends to provide GenAI as a deliverable to the State; or (2), intends to utilize GenAI, including GenAI from third parties, to complete all or a portion of any deliverable that materially impacts: (i) functionality of a State system, (ii) risk to the State, or (iii) Contract performance. For avoidance of doubt, the term "materially impacts" shall have the meaning set forth in State Administrative Manual (SAM) § 4986.2 Definitions for GenAI.

Failure to report GenAI to the State may result in disqualification. The State reserves its right to seek any and all relief to which it may be entitled to as a result of such non-disclosure.

Upon notification by a Bidder/Offeror of GenAI as required, the State reserves the right to incorporate GenAI Special Provisions into the final contract or reject bids/offers that present an unacceptable level of risk to the State.

Government Code 11549.64 defines “Generative Artificial Intelligence (GenAI)” as an artificial intelligence system that can generate derived synthetic content, including text, images, video, and audio that emulates the structure and characteristics of the system’s training data.

Kiran Varghese Contracts Unit Kiran.Varghese@ccc.ca.gov mailto:Kiran.Varghese@ccc.ca.gov

Table of Contents

1. PURPOSE AND DESCRIPTION OF SERVICES

A. Description and Location of Work B. Estimated Cost C. Term of Agreement D. License Required:

2. BID REQUIREMENTS AND INFORMATION

A. Key Action Dates:

B. Written Questions C. Submission of Bid D. Evaluation and Selection E. Award and Protest F. Disposition of Bids G. Agreement Execution and Performance H. Loss Leader

3. PREFERENCE AND INCENTIVE PROGRAMS

A. Small Business Preference:

B. Non-Small Business Subcontractor Preference:

C. Disabled Veteran Business Enterprise Incentive:

D. Applying Preference and Incentives:

4. MODEL CONTRACT

Exhibit A SCOPE OF WORK Exhibit B BUDGET DETAILS AND PAYMENT PROVISIONS EXHIBIT C General Terms and Conditions (GTC 02/2025)

EXHIBIT D SPECIAL TERMS AND CONDITIONS

EXHIBIT E CCC248, 126,126A,126B

1. PURPOSE AND DESCRIPTION OF SERVICES

A. Description and Location of Work

Contractor to provide all labor, materials, tools and incidentals necessary to provide physical examinations for Corpsmember Candidates of the California Conservation Corps in accordance with the attached Scope of Work and specifications at:

CCC Delta Center 7000 New Castle Rd, Stockton, CA 95215

A full description of required services is provided in Section 4, Model Contract Exhibit A, Scope of Work. The winning Bidder will be required to adhere to all agreement terms as indicated in Section 4, Model Contract.

B. Estimated Cost

The estimated cost of this Agreement is $50,000.00

C. Term of Agreement

The term of this Agreement is Upon approval through 06/30/2028.

D. License Required:

All services must be performed by a physician who shall be properly licensed by the Medical Board of California or the Osteopathic Medical Board of California as a Medical Doctor; or by a contract nurse practitioner, who shall be properly licensed by the California Board of Registered Nurses as a nurse practitioner; or a Physician’s Assistant currently licensed by the California Physician’s Assistant Committee.

2. BID REQUIREMENTS AND INFORMATION

A. Key Action Dates:

Listed below are the important action dates and times by which actions must be taken or completed. If CCC finds it necessary to change any of these dates, it will be accomplished by addendum to this IFB.

Event Date IFB available to prospective Bidders 06/24/2026 Deadline to ask Questions 07/01/2026 at 4:00PM Deadline to post Q&A to Cal eProcure 07/06/2026 Final Date for Bid Submission 07/10/2026 at 2:00PM Bid Opening 07/10/2026 at 2:00PM

B. Written Questions

1. Bidders requiring clarification of the intent or content of this IFB, or on procedural matters regarding the competitive procurement process, may request clarification by submitting questions in writing. Bidders shall submit questions to bidquestions@ccc.ca.gov. Questions and any proposed changes must be submitted by the date and time listed in Section 2 Paragraph A Key Action Dates.

2. The subject line of the email should read, IFB C6669-130304 Questions – Company Name.

3. The Bidder must reference the section and page number about which they are inquiring.

4. Written Questions and Answers will be provided without identifying the submitter. CCC may paraphrase questions, at its sole discretion, for clarity.

5. Questions and Answers will be posted to Cal eProcure on or before the Deadline to post Q&A to Cal eProcure date specified in Section 2 Paragraph A Key Action Dates.

C. Submission of Bid

1. All bids must be submitted via email to Kiran.Varghese@ccc.ca.gov by the dates and time shown in Section 2 Paragraph A, Key Action Dates.

Email must read as follows:

Bid # C6669-130304 DO NOT OPEN UNTIL 07/10/2026 @2PM

Email must also include the required attachment list

2. All bids shall include the documents identified in Attachment 2, Bid Submission Attachment Checklist. Bids not including the proper “required attachments” shall be deemed non- responsive. A non-responsive bid is one that does not meet the basic bid requirements.

mailto:bidquestions@ccc.ca.gov.

3. All documents requiring a signature must bear an original signature of a person authorized to bind the Bidder Contractually. The signature should indicate the title or position that the individual holds in the firm. That person shall sign Attachment 1, Bid/Bidder Certification Sheet. An unsigned Bid/Bidder Certification Sheet will be rejected.

4. Bids must be submitted for the performance of all the services described herein. Any deviation from the work specifications will not be considered and will cause a bid to be rejected.

5. A bid will be rejected if it is conditional, or if it contains any alterations of form or other irregularities of any kind. The State may reject any or all bids and may waive an immaterial deviation in a bid. The State’s waiver of an immaterial deviation shall in no way modify the IFB document or excuse the bidder for full compliance with all requirements if awarded the agreement.

6. Costs incurred for developing bids and in anticipation of award of the agreement are entirely the responsibility of the bidder and shall not be charged to the State of California.

7. A Bidder may modify a bid after its submission by withdrawing its original bid and resubmitting new bid prior to the bid submission deadline. Bidder modifications offered in any other manner, oral or written, will not be considered.

8. A bidder may withdraw its bid by submitting a written withdrawal request to the State, signed by the bidder or an authorized agent. A bidder may thereafter submit a new bid prior to the bid submission deadline. Bids may not be withdrawn without cause subsequent to bid submission deadline.

9. The awarding agency may modify the IFB prior to the date fixed for submission of bids by the issuance of an addendum to all parties who received a bid package.

10. The awarding agency reserves the right to reject all bids. The agency is not required to award an agreement.

11. Before submitting a response to this solicitation, bidders should review, correct all errors and confirm compliance with the IFB requirements.

12. Where applicable, bidder should carefully examine work sites and specifications. Bidder shall investigate conditions, character, and quality of surface or subsurface materials or obstacles that might be encountered. No additions or increases to the agreement amount will be made due to a lack of careful examination of work sites and specifications.

13. The State does not accept alternate contract language from a prospective contractor. A bid with such language will be considered a counter proposal and will be rejected. The

State’s General Terms and Conditions (GTC are not negotiable).

14. No oral understanding or agreement shall be binding on either party.

D. Evaluation and Selection

1. At the time of bid opening, each bid will be checked for the presence or absence of required information in conformance with the submission requirements of this IFB.

2. The State will evaluate each bid to determine its responsiveness to the published requirements.

3. Bids that contain false or misleading statements, or which provide references, which do not support an attribute or condition claimed by the bidder, will be rejected.

4. Award if made, will be the lowest responsive responsible bidders.

E. Award and Protest

1. Upon written request by any bidder, notice of the proposed award shall be posted in a public place in the office of the awarding agency at least five (5) working days prior to awarding the agreement.

2. If any bidder, prior to the award of the Agreement, files a protest with the CCC and the Department of General Services (DGS), Office of Legal Services (OLS) the Agreement shall not be awarded until either the protest has been withdrawn or the DGS has decided the matter. (See Public Contract Code section 10345.)

3. Within five days after filing the protest, the protesting bidder shall file with DGS- OLS and the CCC, a detailed statement specifying the grounds for the protest. The written protest statement should include the IFB number, the name of the State agency involved, and the agency contract person. Protests may be sent by email, regular mail, or courier or personal delivery to the addresses shown below. Protestants should include their email address, if they have one, and advise the DGS Bid Protest Coordinator if they will accept service of documents pertaining to the protest via email.

Department of General Services Office of Legal Services

Attention: Bid Protest Coordinator 707 Third Street, 7th Floor, Suite 7-330

West Sacramento, CA 95605 Email: OLSProtests@dgs.ca.gov mailto:OLSProtests@dgs.ca.gov

California Conservation Corps Attention: Kiran Varghese

1719 24th Street Sacramento CA 95816 Email: Kiran.Varghese@ccc.ca.gov

F. Disposition of Bids

Upon proposal opening, all documents submitted in response to this RFP will become the property of the State of California and will be regarded as public records under the California Public Records Act (Government Code Section 6250 et seq.) and subject to review by the public.

G. Agreement Execution and Performance

1. Execution of Performance shall start on the express date set by the awarding agency and the Contractor, after all approvals have been obtained and this Agreement is fully executed. Should the Contractor fail to commence work at the agreed upon time, the awarding agency, upon five (5) days written notice to the Contractor, reserves the right to terminate this Agreement. In addition, the Contractor shall be liable to the State for the difference between Contractor's bid price and the actual cost of performing work by the second lowest Bidder or by another Contractor.

2. All performance under this Agreement shall be completed on or before the termination date of this Agreement.

3. The resulting Contract will be of no force or effect until it is signed by both parties and approved by the Department General Services, if required. The Contractor is hereby advised not to commence performance until all approvals have been obtained. Should performance commence before all approvals are obtained, said services may be considered to have been volunteered if all approvals cannot be obtained.

H. Loss Leader

It is unlawful for any person engaged in business within this state to sell or use any article or product as a “loss leader” as defined in Section 17030 of the Business and Professions Code.

3. PREFERENCE AND INCENTIVE PROGRAMS

Preference and Incentive Programs are each identified below. When the Bidder satisfies the requirements and requests bid preferences and incentives, the Bidder must clearly identify in their bid submission for which of the programs it qualifies. Denial of those preference or incentive requests is not a basis for rejection of the bid.

A. Small Business Preference:

California Government Code (GC) section 14835, et seq., requires a preference be given to Bidders who are California Certified Small Business (SB). The rules and regulations of this law, including the definition of a SB for the delivery of goods and services, are contained in California Code of Regulations, title 2, section 1896 et seq.

A preference is available to a certified SB. A Bidder claiming this preference must be certified by the Office of Small Business and Disabled Veteran Enterprise Services (OSDS) as a SB.

Questions regarding certification should be directed to the OSDS at (916) 375-4940.

To be considered as a certified SB, the Bidder must have a complete application package on file with the OSDS by 5:00 p.m. on the Deadline for Final Bid Submission date. Questions regarding the certification approval process should be directed to the OSDS. A copy of the regulations, instructions and format for claiming the Small Business Preference is available at:

https://www.dgs.ca.gov/PD/Services/Page-Content/Procurement-Division-Services-List- Folder/Certify-or-Re-apply-as-Small-Business-Disabled-Veteran-Business-Enterprise

To claim the Small Business Preference please see Attachment 5, Bidder Declaration (GSPD- 05-105).

NOTE: Pursuant to GC 14837, only a SB who performs a Commercially Useful Function (CUF) relevant to the Scope of Work included in this IFB may qualify the Bidder for a SB preference. A business that is performing a commercially useful function is one that does ALL of the following:

i. Is responsible for execution of a distinct element of the work of the contract;

ii. Carries out its obligation by actually performing, managing, or supervising the work involved;

iii. Performs work that is normal for its business, services and function;

iv. Is not further subcontracting a portion of the work that is greater than that expected to be subcontracted by normal industry practices; and

v. Is responsible, with respect to products, inventories, materials, and supplies required for the contract, for negotiating price, determining quality and quantity, ordering, installing, if applicable, and making payment.

B. Non-Small Business Subcontractor Preference:

A preference is available to a non-small business (NS) claiming 25% California-certified small business subcontractor participation. A Bidder claiming this preference must list one or more SB subcontractor(s), whom the Bidder commits to subcontract in an amount of at least twenty-five percent (25%) of the work performed under this contract.

To claim the Non-Small Business Subcontractor Preference please see Attachment 5, Bidder Declaration (GSPD-05-105).

https://www.dgs.ca.gov/PD/Services/Page-Content/Procurement-Division-Services-List-Folder/Certify-or-Re-apply-as-Small-Business-Disabled-Veteran-Business-Enterprise https://www.dgs.ca.gov/PD/Services/Page-Content/Procurement-Division-Services-List-Folder/Certify-or-Re-apply-as-Small-Business-Disabled-Veteran-Business-Enterprise

NOTE: Pursuant to GC 14837, only a SB who performs a Commercially Useful Function (CUF) relevant to the Scope of Work included in this IFB may qualify the Bidder for a SB preference. A business that is performing a commercially useful function is one that does ALL of the following:

i. Is responsible for execution of a distinct element of the work of the contract;

ii. Carries out its obligation by actually performing, managing, or supervising the work involved;

iii. Performs work that is normal for its business, services and function;

iv. Is not further subcontracting a portion of the work that is greater than that expected to be subcontracted by normal industry practices; and

v. Is responsible, with respect to products, inventories, materials, and supplies required for

C. Disabled Veteran Business Enterprise Incentive:

There is no minimum DVBE participation minimum requirement for this contract. Pursuant to Military and Veterans Code Section 999.5, subdivision (a), an incentive will be given to Bidders who provide DVBE participation on the contract.

The DVBE Incentive is as follows:

Confirmed DVBE Participation Incentive 5% and above 5% 4% to 4.99% 4% 3% to 3.99% 3% 2% to 2.99% 2%

1.01 to 1.99% 1%

0% - 1% No incentive

A Bidder is eligible to receive this additional DVBE incentive if they are a certified DVBE or if a non DVBE Bidder commits to use a certified DVBE(s) as subcontractor(s).

To claim the DVBE incentive please see Attachment 5, Bidder Declaration (GSPD-05-105).

Locating DVBE Subcontractors:

i. State Resources: Access the list of all certified DVBEs by using the Department of General Services, Procurement Division (DGS-PD), online certified firm database at:

www.caleprocure.ca.gov

To begin your search, click on “Small Business and Disabled Veteran Business Enterprise Services,” then click “SB/DVBE Search.” Search by “Keywords” or “United Nations Standard Products and Services Codes (UNSPSC) that apply to the elements of work you want to subcontract to a DVBE. Check for subcontractor ads that may be placed on the California State Contracts Register (CSCR) for this solicitation prior to the closing date. You may access the CSCR at: www.caleprocure.ca.gov. For questions regarding the online certified firm database and the CSCR, please call the OSDS at

(916) 375-4940 or send an email to: OSDSHelp@dgs.ca.gov http://www.caleprocure.ca.gov/ www.caleprocure.ca.gov mailto:OSDSHelp@dgs.ca.gov

ii. Local Resources: For a list of local DVBE organizations: https://www.dgs.ca.gov/- /media/Divisions/PD/OSDS/Certification/CUF/Referral- Organizations.pdf?la=en&hash=83C2593E5D854FB850909D64CEE110C00BE264BE

NOTE: Pursuant to Military and Veterans Code section 999 only a DVBE who performs a Commercially Useful Function (CUF) relevant to the Scope of Work included in this IFB may qualify the Bidder or be used to qualify the Bidder for a DVBE participation and/or DVBE incentive. A business that is performing a commercially useful function is one that does ALL of the following:

i. Is responsible for execution of a distinct element of the work of the contract;

ii. Carries out its obligation by actually performing, managing, or supervising the work involved;

iii. Performs work that is normal for its business, services and function;

iv. Is not further subcontracting a portion of the work that is greater than that expected to be subcontracted by normal industry practices; and

v. Is responsible, with respect to products, inventories, materials, and supplies required for

D. Applying Preference and Incentives:

Preferences and incentives are used for bid tabulation purposes to determine the lowest responsive responsible bid. Strict adherence to the laws and regulations to apply the preferences and incentives will be followed. If awarded the contract, the preference and/or incentive does not alter the amount of the resulting contract. Please be aware that contracts awarded with applied preferences or incentives will be monitored throughout the life of the contract for compliance to statutory, regulatory and contractual requirements.

The SB preference of 5% will be applied when a responsive and responsible bidder that is not a CA certified SB submits the lowest responsive bid. NSB will receive a 5% preference if the lowest responsive bid is not a SB after application of the SB Preference. (Note: Pursuant to Government Code (GC) 14838 (g) NSB claiming SB subcontractor preference cannot result in denial of the award to a certified SB.)

The DVBE incentive will be applied to each qualified bidder’s verified DVBE participation percentage from the number 1 ranked responsive and responsible net bid, regardless if the number 1 bidder is an SB/DVBE. If a SB is ranked number 1 after SB preference has been applied, the DVBE incentive is only calculated for bidders certified as SBs.

https://www.dgs.ca.gov/-/media/Divisions/PD/OSDS/Certification/CUF/Referral-Organizations.pdf?la=en&hash=83C2593E5D854FB850909D64CEE110C00BE264BE https://www.dgs.ca.gov/-/media/Divisions/PD/OSDS/Certification/CUF/Referral-Organizations.pdf?la=en&hash=83C2593E5D854FB850909D64CEE110C00BE264BE https://www.dgs.ca.gov/-/media/Divisions/PD/OSDS/Certification/CUF/Referral-Organizations.pdf?la=en&hash=83C2593E5D854FB850909D64CEE110C00BE264BE

Sample bid tabulation:

Bidder A B C D Responsive & Responsible? Yes Yes Yes Yes

Small Business SB NSB No SB

NET BID AMOUNT $110,100.00 $109,500.00 $107,300.00 110,200.00

Initial Ranking 3 2 1 4 SB Preference Amount $5,365.00 none none $5,365.00

Subtotal -1 $104,735.00 $109,500.00 $107,300.00 $104,835.00 Ranking after SB

Preferences 1 4 3 2

Ranking after NSB Preference 1 4 3 2

DVBE Incentive % (Applied only to SBs if Rank 1 bidder is an

SB after application of SB Preference) 2% None 3% 3%

DVBE Incentive Amount $2,146.00 -

$3,219.00 (Not applied as SB is rank 1 after SB Preference is Applied)

$3,219.00

Subtotal - 3 $102,589.00 $109,500.00 $107,300.00 $101,616.00 Ranking after DVBE

Incentive 2 4 3 1

4. MODEL CONTRACT

Exhibit A

SCOPE OF WORK

Project Type: Pre-Enrollment Physicals

Project Location: CCC Delta Center - 7000 New Castle Rd, Stockton, CA 95215

Project Manager: Toni Perez (209) 235-1700 Toni.Perez@CCC.CA.GOV

Contractor agrees to provide all labor, materials, tools and incidentals necessary to provide physical examinations for Corpsmember Trainees of the California Conservation Corps, in accordance with the attached Participant Position Analysis and the Health Questionnaire completed by the Trainee.

Contractor is to evaluate all Corpsmembers on-site for both, CCC Fire Crew Corpsmember and CCC Standard Corpsmember positions, regardless of the Corpsmembers program interest within CCC. Firefighter physical examinations may differ in cost compared to standard physical examinations.

Guidelines to the Examining Physician/Physician’s Assistant/Nurse Practitioner All services must be performed by a physician who shall be properly licensed by the Medical Board of California or the Osteopathic Medical Board of California as a Medical Doctor or by a Physician’s Assistant, currently licensed by the California Physician’s Assistant Committee, or by a contract nurse practitioner, who shall be properly licensed by the California Board of Registered Nurses as a nurse practitioner.

In the case of a firm/medical group, services must be performed by a physician who is properly licensed by the Medical Board of California or the Osteopathic Medical Board of California as a Medical Doctor or by a nurse practitioner who is properly licensed by the California Board of Registered Nurses as a Nurse Practitioner or a Physician’s Assistant, currently licensed by the California Physician’s Assistant Committee. The contracted firm/group shall submit a list of physicians or nurse practitioners and their license numbers to the CCC prior to commencing services under any resulting contract from the bid process. Names of new physicians, nurse practitioners or physician’s assistants and license numbers must be submitted to CCC for verification and approval prior to physicians, nurse practitioners or physician’s assistants commencing services under a contract.

PHYSICAL EXAMINATION SPECIFICATIONS

The Physician, Physician’s Assistant, or Nurse Practitioner will be expected to:

1. Conduct a physical exam using the essential job functions detailed in the Corpsmember Position Analysis (CCC248), and the information provided by the Trainee in the Health Questionnaire (CCC126), completing all sections of the Medical Examination Report (CCC126-A). The exam should include a verification of the accuracy of the information provided in the Health Questionnaire (CCC126).

2. Complete the Pre-Enrollment Exam Summary (CCC126-B), providing an overall determination of the applicant’s ability to perform the essential functions of the Corpsmember position. Clarify the nature of any disability (temporary or permanent) the long-term impact and limitations.

3. Return a copy of the completed Pre-Enrollment Exam Summary (CCC126-B) to the individual Trainee sealed in the attached envelope or return all copies of all Pre- Enrollment Exam Summary forms (CCC 126-B) in a single sealed confidential envelope addressed to the Center Director.

4. Submit the completed Health Questionnaire (CCC126), CCC Medical Report (CCC126-

A), and the Pre-Enrollment Exam Summary (CCC126-B) to the CCC’s Health & Safety Unit using one of following systems:

By fax at the number 877-269-1532 or by certified mail

If certified mail is used, the address is:

California Conservation Corps Health and Safety Unit

1719 24th Street Sacramento, CA 95816

Ensure to mark the envelope “Confidential.”

5. Understand that an applicant can only be screened out when the essential functions of the Corpsmember position are not met. The California Conservation Corps may be able to accommodate an applicant based on the individual’s disability and restrictions or limitations.

6. Maintain all of the original completed examination forms for a period of seven (7) years from the date of examination.

CONFIDENTIALITY OF DATA

Records and case notes are recognized as confidential. The Contractor, its employees, agents or subcontractors:

1. Shall protect from unauthorized disclosure the names and other identifying information concerning persons either receiving services pursuant to this contract or persons whose names or identifying information become available or are disclosed to the Contractor, his/her employees, agents or subcontractors as a result of services performed under this agreement, except for statistical information not identifying any such person.

2. Shall not use such identifying information for any purpose other than carrying out the Contractor’s obligations.

3. Shall promptly transmit to the CCC all requests for disclosure of such identifying information not emanating from the client or person.

4. Shall not disclose, except as otherwise specifically permitted by this agreement or authorized by the client, any such identifying information to anyone other than the CCC without prior written authorization from the CCC.

For the purposes of this article, identity shall include, but not be limited to, name, identifying number, symbol, or other identifying particular assigned to the individual, such as finger or voice print, or a photograph.

Exhibit B

BUDGET DETAILS AND PAYMENT PROVISIONS

1. INVOICING AND PAYMENT

A. The maximum amount payable for this Agreement shall not exceed $50,000.00

FY26/27: $25,000.00

FY27/28: $25,000.00

Cost per physical:

B. For services rendered in accordance with the Scope of Work, and upon receipt of the invoice, the State agrees to compensate the Contractor for actual expenditures incurred in accordance with the rates specified herein, which is attached hereto and made a part of this Agreement.

C. The Contractor shall be paid Monthly in arrears upon submission of an original and two copies of the invoice, which properly details all charges, expenses, direct and indirect costs. Invoices shall be submitted to:

Contract Manager: Toni Perez

Region / Division: CCC Delta Center

Address: 7000 New Castle Rd, Stockton, CA 95215

D. The original and one (1) approved copy of the invoice will be forwarded to the CCC’s

Accounting Claims Section by the Contract Manager. Payment of any invoice will be made only after receipt of a complete, supported, documented and accurately addressed invoice. Failure to use the address exactly as provided above may result in the return of the invoice to the Contractor. All invoices must be approved by the Contract Manager.

E. The invoice shall contain the following information:

1. The word “Invoice” should appear in a prominent location at the top of the page(s);

2. Printed name of the Contractor;

3. Business address of the Contractor including P.O. Box, City, State, and Zip

Code;

4. Name of the Region/Division of CCC being billed;

5. The date of the invoice and the time period covered;

6. The number of the agreement upon which the claim is based, and;

7. An itemized account of the services for which the CCC is being billed.

Include all of the following:

a. The time period covered by the invoice, i.e., the term

“from” and “to”.

b. A description of the services performed.

F. The method of computing the amount due based on a line item budget/cost reimbursement method. Payments will be made by the State to the Contractor, in arrears, upon receipt of an itemized invoice showing the time period covered and the work items accomplished. The invoice must be itemized using the categories and following the format of the attached budget.

G. The total amount due. This should be in a prominent location in the lower right-hand portion of the last page and clearly distinguished from other figures or computations appearing on the invoice; the total amount due shall include all costs incurred by the Contractor under the terms of this agreement; and

H. The original signature of the Contractor (not required of established firms or entities using preprinted letterhead invoices).

2. CONTRACT WRITTEN PRIOR TO APPROVAL OF THE BUDGET ACT

A. It is mutually understood between the parties that this Agreement may have been written prior to approval of the Budget Act for the mutual benefit of both parties in order to avoid program and fiscal delays.

B. This Agreement is valid and enforceable only if sufficient funds are made available by the Budget Act for the Fiscal Year(s) involved for the purposes of this program. In addition, this Agreement is subject to any additional restrictions, limitations, or conditions enacted by the Legislature and contained in the Budget Bill or any statute enacted by the Legislature which may affect the provisions, terms, or funding of this Agreement in any manner.

C. It is mutually agreed that if the Budget Act of the current year and/or any subsequent years covered under this Agreement does not appropriate sufficient funds for the

D. program, this Agreement shall be of no further force and effect. In this event, the

State shall have no liability to pay any funds whatsoever to the Contractor or to furnish any other considerations under this Agreement and the Contractor shall not be obligated to perform any additional provisions of this Agreement.

E. If funding for any fiscal year is reduced or deleted by the Budget Act for purposes of this program, the State shall have the option to either cancel this Agreement with no liability occurring to the State, or offer an agreement amendment to the Contractor to reflect the reduced amount.

3. PROMPT PAYMENT CLAUSE

Payment will be made in accordance with, and within the time specified in Government Code Chapter 4.5, commencing with Section 927.

EXHIBIT C

General Terms and Conditions (GTC 02/2025)

1. APPROVAL: This Agreement is of no force or effect until signed by both parties and approved by the Department of General Services, if required. Contractor may not commence performance until such approval has been obtained.

2. AMENDMENT: No amendment or variation of the terms of this Agreement shall be valid unless made in writing, signed by the parties and approved as required. No oral understanding or Agreement not incorporated in the Agreement is binding on any of the parties.

3. ASSIGNMENT: This Agreement is not assignable by the Contractor, either in whole or in part, without the consent of the State in the form of a formal written amendment.

4. AUDIT: Contractor agrees that the awarding department, the Department of General Services, the Bureau of State Audits, or their designated representative shall have the right to review and to copy any records and supporting documentation pertaining to the performance of this Agreement. Contractor agrees to maintain such records for possible audit for a minimum of three (3) years after final payment, unless a longer period of records retention is stipulated. Contractor agrees to allow the auditor(s) access to such records during normal business hours and to allow interviews of any employees who might reasonably have information related to such records. Further, Contractor agrees to include a similar right of the State to audit records and interview staff in any subcontract related to performance of this Agreement. (Gov. Code §8546.7, Pub. Contract Code §10115 et seq., CCR Title 2, Section 1896).

5. INDEMNIFICATION: Contractor agrees to indemnify, defend and save harmless the State, its officers, agents and employees from any and all claims and losses accruing or resulting to any and all contractors, subcontractors, suppliers, laborers, and any other person, firm or corporation furnishing or supplying work services, materials, or supplies in connection with the performance of this Agreement, and from any and all claims and losses accruing or resulting to any person, firm or corporation who may be injured or damaged by Contractor in the performance of this Agreement.

6. DISPUTES: Contractor shall continue with the responsibilities under this Agreement during any dispute.

7. TERMINATION FOR CAUSE: The State may terminate this Agreement and be relieved of any payments should the Contractor fail to perform the requirements of this Agreement at the time and in the manner herein provided. In the event of such termination the State may proceed with the work in any manner deemed proper by the State. All costs to the State shall be deducted from any sum due the Contractor under this Agreement and the balance, if any, shall be paid to the Contractor upon demand.

8. INDEPENDENT CONTRACTOR: Contractor, and the agents and employees of Contractor, in the performance of this Agreement, shall act in an independent capacity and not as officers or employees or agents of the State.

9. RECYCLING CERTIFICATION: The Contractor shall certify in writing under penalty of perjury, the minimum, if not exact, percentage of post-consumer material as defined in the Public Contract Code Section 12200, in products, materials, goods, or supplies offered or sold to the State regardless of whether the product meets the requirements of Public Contract Code Section 12209. With respect to printer or duplication cartridges that comply with the requirements of Section 12156(e), the certification required by this subdivision shall specify that the cartridges so comply (Pub. Contract Code §12205).

10. NON-DISCRIMINATION CLAUSE: During the performance of this Agreement, Contractor and its subcontractors shall not deny the contract’s benefits to any person on the basis of race, religious creed, color, national origin, ancestry, physical disability, mental disability, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, or military and veteran status, nor shall they discriminate unlawfully against any employee or applicant for employment because of race, religious creed, color, national origin, ancestry, physical disability, mental disability, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, or military and veteran status. Contractor shall insure that the evaluation and treatment of employees and applicants for employment are free of such discrimination. Contractor and subcontractors shall comply with the provisions of the Fair Employment and Housing Act (Gov. Code §12900 et seq.), the regulations promulgated thereunder (Cal. Code Regs., tit. 2, §11000 et seq.), the provisions of Article 9.5, Chapter 1, Part 1, Division 3, Title 2 of the Government Code (Gov. Code §§11135-11139.5), and the regulations or standards adopted by the awarding state agency to implement such article. Contractor shall permit access by representatives of the Department of Fair Employment and Housing and the awarding state agency upon reasonable notice at any time during the normal business hours, but in no case less than 24 hours’ notice, to such of its books, records, accounts, and all other sources of information and its facilities as said Department or Agency shall require to ascertain compliance with this clause.

Contractor and its subcontractors shall give written notice of their obligations under this clause to labor organizations with which they have a collective bargaining or other agreement. (See Cal. Code Regs., tit. 2, §11105.)

Contractor shall include the nondiscrimination and compliance provisions of this clause in all subcontracts to perform work under the Agreement.

11. CERTIFICATION CLAUSES: The CONTRACTOR CERTIFICATION CLAUSES contained in the document CCC 04/2017 are hereby incorporated by reference and made a part of this Agreement by this reference as if attached hereto.

12. TIMELINESS: Time is of the essence in this Agreement.

13. COMPENSATION: The consideration to be paid Contractor, as provided herein, shall be in compensation for all of Contractor's expenses incurred in the performance hereof, including travel, per diem, and taxes, unless otherwise expressly so provided.

14. GOVERNING LAW: This contract is governed by and shall be interpreted in accordance with the laws of the State of California.

15. ANTITRUST CLAIMS: The Contractor by signing this agreement hereby certifies that if these services or goods are obtained by means of a competitive bid, the Contractor shall comply with the requirements of the Government Codes Sections set out below.

a. The Government Code Chapter on Antitrust claims contains the following definitions:

1) "Public purchase" means a purchase by means of competitive bids of goods, services, or materials by the State or any of its political subdivisions or public agencies on whose behalf the Attorney General may bring an action pursuant to subdivision (c) of Section 16750 of the Business and Professions Code.

2) "Public purchasing body" means the State or the subdivision or agency making a public purchase. Government Code Section 4550.

b. In submitting a bid to a public purchasing body, the bidder offers and agrees that if the bid is accepted, it will assign to the purchasing body all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C. Sec. 15) or under the Cartwright Act (Chapter 2 (commencing with Section 16700) of Part 2 of Division 7 of the Business and Professions Code), arising from purchases of goods, materials, or services by the bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and become effective at the time the purchasing body tenders final payment to the bidder. Government Code Section 4552.

c. If an awarding body or public purchasing body receives, either through judgment or settlement, a monetary recovery for a cause of action assigned under this chapter, the assignor shall be entitled to receive reimbursement for actual legal costs incurred and may, upon demand, recover from the public body any portion of the recovery, including treble damages, attributable to overcharges that were paid by the assignor but were not paid by the public body as part of the bid price, less the expenses incurred in obtaining that portion of the recovery. Government Code Section 4553.

d. Upon demand in writing by the assignor, the assignee shall, within one year from such demand, reassign the cause of action assigned under this part if the assignor has been or may have been injured by the violation of law for which the cause of action arose and (a) the assignee has not been injured thereby, or (b) the assignee declines to file a court action for the cause of action. See Government Code Section 4554.

16. CHILD SUPPORT COMPLIANCE ACT: For any Agreement in excess of $100,000, the contractor acknowledges in accordance with Public Contract Code 7110, that:

a. The contractor recognizes the importance of child and family support obligations and shall fully comply with all applicable state and federal laws relating to child and family support enforcement, including, but not limited to, disclosure of information and compliance with earnings assignment orders, as provided in Chapter 8 (commencing with section 5200) of Part 5 of Division 9 of the Family Code; and

b. The contractor, to the best of its knowledge is fully complying with the earnings assignment orders of all employees and is providing the names of all new employees to the New Hire Registry maintained by the California Employment Development Department.

17. UNENFORCEABLE PROVISION: In the event that any provision of this Agreement is unenforceable or held to be unenforceable, then the parties agree that all other provisions of this Agreement have force and effect and shall not be affected thereby.

18. PRIORITY HIRING CONSIDERATIONS: If this Contract includes services in excess of $200,000, the Contractor shall give priority consideration in filling vacancies in positions funded by the Contract to qualified recipients of aid under Welfare and Institutions Code Section 11200 in accordance with Pub. Contract Code §10353.

19. SMALL BUSINESS PARTICIPATION AND DVBE

PARTICIPATION REPORTING REQUIREMENTS:

a. If for this Contract Contractor made a commitment to achieve small business participation, then Contractor must within 60 days of receiving final payment under this Contract (or within such other time period as may be specified elsewhere in this Contract) report to the awarding department the actual percentage of small business participation that was achieved. (Govt. Code § 14841.)

b. If for this Contract Contractor made a commitment to achieve disabled veteran business enterprise (DVBE) participation, then Contractor must within 60 days of receiving final payment under this Contract (or within such other time period as may be specified elsewhere in this Contract) certify in a report to the awarding department: (1) the total amount the prime Contractor received under the Contract; (2) the name and address of the DVBE(s) that participated in the performance of the Contract; (3) the amount each DVBE received from the prime Contractor; (4) that all payments under the Contract have been made to the DVBE; and (5) the actual percentage of DVBE participation that was achieved. A person or entity that knowingly provides false information shall be subject to a civil penalty for each violation. (Mil. & Vets. Code § 999.5(d); Govt. Code § 14841.)

20. LOSS LEADER: If this contract involves the furnishing of equipment, materials, or supplies then the following statement is incorporated: It is unlawful for any person engaged in business within this state to sell or use any article or product as a “loss leader” as defined in Section 17030 of the Business and Professions Code. (PCC 10344(e).)

21. GENERATIVE AI DISCLOSURE OBLIGATIONS:

a. The following terms are in addition to the defined terms and shall apply to the Contract:

1) “Generative AI (GenAI)” means an artificial intelligence system that can generate derived synthetic content, including text, images, video, and audio that emulates the structure and characteristics of the system's training data. (Gov. Code § 11549.64.)

b. Contractor shall immediately notify the State in writing if it: (1) intends to provide GenAI as a deliverable to the State; or (2), intends to utilize GenAI, including GenAI from third parties, to complete all or a portion of any deliverable that materially impacts: (i) functionality of a State system, (ii) risk to the State, or (iii) Contract performance. For avoidance of doubt, the term “materially impacts” shall have the meaning set forth in State Administrative Manual (SAM) § 4986.2 Definitions for GenAI.

c. Notification shall be provided to the State designee identified in this Contract.

d. At the direction of the State, Contractor shall discontinue the provision to the

State of any previously unreported GenAI that results in a material impact to the functionality of the System, risk to the State, or Contract performance, as determined by the State.

e. If the use of previously undisclosed GenAI is approved by the State, then

Contractor will update the Deliverable description, and the Parties will amend the Contract accordingly, which may include incorporating the GenAI Special Provisions into the Contract, at no additional cost to the State.

f. The State, at its sole discretion, may consider Contractor’s failure to disclose or discontinue the provision or use of GenAI as described above, to constitute a material breach of Contract when such failure results in a material impact to the functionality of the System, risk to the State, or Contract performance. The State is entitled to seek any and all remedies available to it under law as a result of such breach, including but not limited to termination of the contract.

EXHIBIT D

SPECIAL TERMS AND CONDITIONS

Interpretation

In the interpretation of this Agreement, any inconsistencies between the State of California General Terms and Conditions (GTC - 02/2025) and the terms of this Agreement and exhibits or attachments shall be resolved in favor of the General Terms and Conditions

(GTC – 02/2025)

The clause headings appearing in this Agreement have been inserted for the purpose of convenience and ready reference. They do not purport to and shall not be deemed to define, limit, or extend the scope or intent of the clauses to which they pertain.

Cancellation/Termination

This Agreement may be cancelled or terminated without cause by either party by giving thirty (30) calendar days advance written notice to the other party. Such notification shall state the effective date of termination or cancellation and include any final performance and/or payment/invoicing instructions/requirements.

Upon receipt of a notice of termination Contractor shall take such steps as are reasonably necessary to prepare to terminate its operations on the date specified in the notice of termination or any extension thereof.

Contractor Overpayments

If it is determined that an overpayment has been made to the Contractor, the State will seek recovery immediately upon discovery of the overpayment by: (a) requesting in writing that Contractor refund the overpayment amount within thirty (30) days after receipt of notice; or

(b) offsetting subsequent Contractor payments by the amount of the overpayment if Contractor repayment is not received within thirty (30) days from the date of notice.

Service Standards

Contractor agrees to comply with all state and federal laws and regulations which are applicable to the services to be provided under this Agreement.

License and Permits

Contractor shall procure and keep in full force and effect during the term of this Agreement all permits, registrations and licenses necessary to accomplish the work specified in this Agreement and give all notices necessary and incident to the lawful prosecution of the work.

Contractor shall keep informed of, observe, comply with, and cause all of its agents and employees to observe and comply with all prevailing Federal, State, and local laws, and rules and…

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