IFB_C6814-132865_Attachments.pdf

ATTACHMENT 1

BID FORM

Within the email subject line: BID SUBMITTAL: PROJECT C6814-132865 CCTV Security System Upgrade.

The undersigned hereby proposes and agrees to furnish all labor, materials, and equipment, and to perform all work required for the above-named Project in the manner and time prescribed in the Drawings and Project Manual and such addenda thereto as may be issued prior to bid opening date and in accordance with prevailing wage rates ascertained by the Department of Industrial Relations and set forth on the DIR web site (Prevailing Wage Requirements) for General Prevailing Wage Rates as determined by the DIR prevailing wage published rates. The Bid Price, set forth below in clear legible figures, includes the cost of Bonds, insurance, sales tax, and every other item of expense, direct or indirect, incidental to the Bid Price.

SEE ATTACHMENT 7 OF BID PACKET TO COMPLETE COST WORKSHEET

IMPORTANT – READ BEFORE SIGNING: The 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 the Articles below.

Legal Name of Bidder:

Federal ID No:

Email Address:

Business Phone No:

Contractor’s License No:

License Expiration Date:

Licensee Classification:

Contractor’s Public Work’s Registration No. (Dept of Industrial Relations):

Business Address:

THE STATE OF CALIFORNIA

CALIFORNIA CONSERVATION CORPS

BUSINESS SERVICES AND CONTRACTS

FROM: _____________________________

(Name of Bidding Firm)

EMAIL TO: kiran.varghese@ccc.ca.gov BEFORE: 10/16/2026, 2:00PM

FOR: BID SUBMITTAL: PROJECT C6814-132865 CCTV Security System Upgrade

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, 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. 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 – LABOR CODE CERTIFICATIONS

A. “I am aware of the provisions of LC § 3700 which requires every employer to be insured against liability for workers’ compensation or to undertake self-insurance in accordance with the provisions of that Code, and I will comply with such provisions before commencing the performance of the work of this contract.”

B. “It is hereby mutually agreed that the contractor shall forfeit to the State (enter amount from LC § 1775) dollars for each calendar day, or portion thereof, for each worker paid by him or her, or subcontractor under him or her, less than the prevailing wage so stipulated and in addition the contractor further agrees to pay to each worker the difference between the actual amount paid for each calendar day, or portion thereof, and the stipulated prevailing wage rate for the same. This provision shall not apply to properly, registered apprentices.”

Note: LC § 1771.5 allows exemptions from the general prevailing rate under specific conditions for departments with Labor Compliance Programs.

C. It is further agreed that the maximum hours a worker is to be employed is limited to eight hours a day and 40 hours a week and the contractor shall forfeit, as a penalty to the State, twenty-five dollars ($25) for each worker employed in the execution of the contract for each calendar day during which a worker is required or permitted to labor more than eight hours in any calendar day or more than 40 hours in any calendar week, in violation of LC §§ 1810-1815, inclusive.

D. Properly registered apprentices may be employed in the prosecution of the work. Every such apprentice shall be paid the standard wage paid to apprentices under the regulations of the craft or trade at which he or she is employed, and shall be employed only at the work of the craft or trade to which he or she is registered. The contractor and each subcontractor must comply with the requirements of LC § 1777.5 and any related regulations regarding the employment of registered apprentices.

E. Each contractor and subcontractor shall comply with the LC § 1776 regarding record keeping.

ARTICLE 3 – 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 4 – QUESTIONNAIRE

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

4.1 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

4.2 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 3.1 or 3.2 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 5 – 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.

SIGN HERE ---- ________________________________________________

Signature of Bidder

Print Name and Title of Bidder

ATTACHMENT 1A

COLLUSION DECLARATION TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID

FOR PUBLIC WORKS

The undersigned declares:

I am the ______________________ of ______________________, the party making the foregoing bid.

The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham.

The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or to refrain from bidding. 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 of that of any other bidder. All statements contained in the bid are true.

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, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose.

Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on (date), at (city), (state).

Signed: ______________________

Print/Type Name

ATTACHMENT 2

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 Form

_____ Attachment 2 YES Bid Submission Checklist

_____ Attachment 3 YES Payee Data Record

_____ Attachment 4 YES Contractors Certification Clause

_____ Attachment 5 YES Bidder Declaration

_____ Attachment 6 YES Proof of Insurance

_____ Attachment 7 YES Cost Worksheet

_____ Attachment 8 IF APP Darfur Contracting Act

_____ Attachment 9 IF APP California Civil Rights Laws Attachment

_____ Attachment 10 IF APP DVBE Declarations

_____ Attachment 11 IF APP SB Preference and Certification Request

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 to you.

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.

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

ATTACHMENT 5

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 to you.

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 5.

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

ATTACHMENT 6

PROOF OF INSURANCE

A Bidder must submit current proof of insurance as Attachment 6 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 6 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 7

BID-COST SHEET

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

ATTACHMENT 8 (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 8.

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

ATTACHMENT 9 (IF APPLICABLE)

CALIFORNIA CIVIL RIGHTS LAWS ATTACHMENT

Pursuant to Public Contract Code section 2010, a person that submits a bid or proposal to, or otherwise proposes to enter into or renew a contract with, a state agency with respect to any contract in the amount of $100,000 or above shall certify, under penalty of perjury, at the time the bid or proposal is submitted or the contract is renewed, all of the following:

1. CALIFORNIA CIVIL RIGHTS LAWS: For contracts executed or renewed after January 1, 2017, the contractor certifies compliance with the Unruh Civil Rights Act (Section 51 of the Civil Code) and the Fair Employment and Housing Act (Section 12960 of the Government Code); and

2. EMPLOYER DISCRIMINATORY POLICIES: For contracts executed or renewed after January 1, 2017, if a Contractor has an internal policy against a sovereign nation or peoples recognized by the United States government, the Contractor certifies that such policies are not used in violation of the Unruh Civil Rights Act (Section 51 of the Civil Code) or the Fair Employment and Housing Act (Section 12960 of the Government Code).

If a Bidder submits a bid over $100,000.00, the Bidder must complete the California Civil Rights Laws Attachment, located at the following internet site:

https://www.dgs.ca.gov/-/media/Divisions/OLS/Forms/CALIFORNIA-CIVIL-RIGHTS-LAWS- ATTACHMENT.pdf

If you do not have Internet access, a hard copy can be provided by contacting the Analyst listed on the IFB.

If applicable, the completed California Civil Rights Laws Attachment must be included in the bid submission, noted as Attachment 9.

https://www.dgs.ca.gov/-/media/Divisions/OLS/Forms/CALIFORNIA-CIVIL-RIGHTS-LAWS-ATTACHMENT.pdf https://www.dgs.ca.gov/-/media/Divisions/OLS/Forms/CALIFORNIA-CIVIL-RIGHTS-LAWS-ATTACHMENT.pdf

ATTACHMENT 10 (IF APPLICABLE)

DISABLED VETERAN BUSINESS ENTERPRISE DECLARATIONS

If the Bidder wishes to claim the Disabled Veteran Business Enterprise (DVBE) incentive. A Bidder must complete the Disabled Veteran Business Enterprise Declarations, located at the following internet site: https://www.documents.dgs.ca.gov/dgs/fmc/gs/pd/pd_843.pdf

If you do not have Internet access, a hard copy can be provided by contacting the Analyst listed on the IFB.

If completed, the Disabled Veteran Business Enterprise Declarations must be included in the bid submission, noted as Attachment 10.

https://www.documents.dgs.ca.gov/dgs/fmc/gs/pd/pd_843.pdf

ATTACHMENT 11(IF APPLICABLE)

SMALL BUSINESS PREFERENCE AND CERTIFICATION REQUEST

For Construction Contractors Only

If applicable, a Bidder must complete the Small Business Preference and Certification Request (STD 811) located at the following site:

https://www.documents.dgs.ca.gov/dgs/fmc/pdf/std811.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.

If completed, Small Business Preference and Certification Request must be included in the bid submission, noted as Attachment 11.

https://www.documents.dgs.ca.gov/dgs/fmc/pdf/std811.pdf