IFB._RW2406010_Waxed_Poultry_Boxes.pdf

State of California Department of Corrections and Rehabilitation

August 16, 2024

INVITATION FOR BID (IFB)

IFB # RW2406010

Notice to Prospective Contractors

The California Prison Industry Authority (CALPIA) invites you to review and respond to this Invitation for Bid (IFB), entitled RW2406010 for WAXED POULTRY BOXES AND LIDS. In submitting your bid, you must comply with the instructions found herein. CALPIA does not accept alternate contract language from a prospective vendor. A bid with such language will be considered a counter proposal and will be rejected. CALPIA’s General Provisions (GP’s) are not negotiable.

Mail or deliver your bid package for the IFB to the address below. Faxed or electronically forwarded bids will not be accepted. Bids not submitted under sealed cover will be rejected. The sealed cover must be plainly marked with the IFB number and title, must show your firm name and address, and must be marked with “DO NOT OPEN”, as shown in the following example:

IFB Number: RW2406010 IFB Name: WAXED POULTRY BOXES AND LIDS

Attention: ANN HARBAUGH Bid Submittal: Do Not Open

In the opinion of CALPIA, this IFB is complete and without need of explanation. However, should you have questions, or need clarifying information, please contact the Contract Analyst indicated below.

Due Date/Time: September 3, 2024 by 3:00 PM

CALPIA Contact Return Bid To:

Ann Harbaugh Phone: (916) 292-0409

Email: ann.harbaugh@calpia.ca.gov

California Prison Industry Authority Attention: Ann Harbaugh 560 East Natoma Street

Folsom, CA 95630

This IFB lids the estimated annual requirement of WAXED POULTRY BOXES for the California Prison Industry Authority (CALPIA) POULTRY ENTERPRISE at Avenal State Prison in Avenal, California.

Term: Any contract resulting from this solicitation will expire after two (2) years regardless of the amount purchased, unless extended or terminated. The contract resulting from this solicitation may be extended by mutual agreement of CALPIA and the Contractor.

mailto:ann.harbaugh@calpia.ca.gov

California Prison Industry Authority (CALPIA) IFB No. RW2406010 Waxed Poultry Boxes and Lids

Method of Award:

This bid shall be awarded on an “All or None” basis to the bidder deemed by CALPIA, at its sole discretion, to offer the best value. Best value is defined as the lowest price or the greatest quality or a combination of the two, depending on the specific needs of CALPIA. It is anticipated that the “best value” bidder will be the lowest responsible bidder meeting specifications.

CALPIA will be considering the following criteria:

1. Cost: Fair, reasonable, and competitive price, expressed warranties, life cycle of product, and customer service commitments for goods and or services.

2. Performance: Past performance, including but not limited to the quality and/or reliability for the product or service as well as efficient billing practices; certification by the International Organization for Standardization (ISO).

3. Experience: Length of time and/or number of instances the bidder has offered or produced the requested type of product and/or service.

CALPIA may consider other factors deemed necessary to ensure that best value is achieved.

In the interest of achieving best value, CALPIA does not grant Small Business, Disabled Veteran Business Enterprise (DVBE), Target Area Contract Preference Act (TACPA), Local Agency Military Base Recovery Act (LAMBRA), or Enterprise Zone Act (EZA) preferences in evaluating bids. Employment of ex-offenders by the bidder is encouraged by CALPIA as part of our ongoing mission to change lives through opportunities.

Please note that no verbal information given will be binding upon the CALPIA unless such information is issued in writing as an official addendum to this IFB.

Specifications:

These specifications cover the requirements for the two-piece food service quality poultry boxes with tray-style lids. The boxes are used in the packaging, freezer storage, and shipment of poultry products intended for human consumption. Each box will hold between 40 and 60 pounds of frozen poultry product.

A. Die Cut Box with Open Top:

1. 10” tri-lock heavy duty, self-locking ice pack body with hook locking device

2. Box dimensions: 23” L x 15” H x 10” D

3. Blank size: 45 5/8” L x 35” H x 5/32” T

4. Single wall corrugated board with C flute medium, water resistant adhesive, Kraft paper liner with safe handling black print on the outside

5. Wax curtain coating (both sides), wet strength paper, minimum Edge Crush Test (ECT) 44 with a board combination of 56/23/56

B. Tray Style Lid:

1. Heavy duty, self-locking ice pack lid

2. Lid dimensions: 23 ½” L x 15 ½” H x 3 1/8” D

3. Blank size: 34 3/16” L x 21 3/4” H x 5/32” T

4. Single wall corrugated board with C flute, water resistant adhesive, Kraft paper liner

5. Wax curtain coating (both sides), wet strength paper, minimum Edge Crush Test (ECT) 32

Note: Reference brand is Houston Carton or equivalent

Workmanship:

The poultry boxes and lids shall be free from slime, adhesive spots, blisters, tears, scuffs, and checks. Trimmed edges shall be clean cut. There shall be no flute structure distortions except at edges and scores. See Exhibits B and C for designs of the poultry box and lid with their dimensions.

All poultry boxes and lids shall be constructed so they can be manually folded and easily assembled. No mechanical process will be used in the assembly of boxes and lids at the institution. Depth of the scores shall be sufficient to allow manual assembly of boxes and lids with relative ease and no tearing.

Instructions shall be provided for set up of the bottoms and lids, or the instructions shall be printed on each bottom and lid.

Materials:

All material utilized in the construction of the food service poultry box and lids shall comply with the Federal Food, Drug and Cosmetic Act (FFDCA) and all applicable Code of Federal Regulations for Food Additives.

Recycled Content:

The CALPIA requires that all vendors certify the percent of recycled content of the food service poultry box and lid offered in the bid. Any changes to the recycled content must be in writing with content provided. Bidders shall complete the Post-Consumer Content Certification form (CIWMB 74) and return it with the bid package.

Guarantee:

Packaging supplier under whose brand and firm name the material is marketed shall supply to the State a written guarantee stating that the materials utilized in the construction of the poultry boxes and lids complies with the Federal Food, Drug and Cosmetic Act and all applicable Food Additive Regulations.

Printing:

Boxes shall have printing on both ends similar to the attached illustration in Exhibit A included in the IFB. Actual copy may differ from the illustration. CALPIA will provide camera-ready artwork to the vendor awarded the contract. Printing ink shall be black in color.

Contract Quantity:

The estimated quantity listed on the Cost Sheet is the anticipated need to be purchased over the life of the one (1) year contract. Actual quantity purchased is dependent on purchases made by CALPIA customers.

Responsible Bidder:

Bidder may be required to submit evidence of their qualifications. The question of whether a particular bidder is a responsible bidder, involves an evaluation of the bidder’s experience, facilities, reputation, financial resources, and other factors existing at the time of the award.

Complete the required Bidder/Supplier Responsibility Information form (Exhibit 2) and return it with your bid.

Performance:

Performance is the responsibility of the contract holder and cannot be assigned to a subcontractor. The bidder shall have effective quality control procedures established to maintain uniformity of product as specified in the bid. A contact person shall be available during regular working hours to take orders and answer questions. See Cost Sheet, Supplier Contact section, and provide the required information.

Contract Dollar Value:

Any contract resulting from this bid will expire one year from its effective date unless extended or terminated. In the event the ordering agency’s requirements are curtailed because of reducing requirements, cancellation of State programs, lack of fiscal appropriations, etc., the State shall be excused from purchasing any outstanding balances.

Quantities shown for each line item are estimated and are the anticipated contract purchase need. The State will not be obligated to purchase the Contractor’s excess inventory of any line item if actual purchases vary from the anticipated purchase pattern. The State reserves the right to order more or less of any line item provided the total monetary amount of the contract is not exceeded.

Please Note: Only bids quoted on the State’s own Cost Sheet will be considered. Bids submitted referencing supplier attachments, or that include legal terms and conditions conflicting with the State’s general bid provisions, shall be considered non-responsive and shall be rejected. If there is a discrepancy on the Cost Sheet between the unit price and the extension price, the unit price shall prevail.

Emergency Purchase:

In the event of an emergency as defined by the Public Contract Code (PCC) Section 1102 and as determined by CALPIA’s Procurement Officer, at CALPIA’s sole discretion, CALPIA may purchase any required line item from other than the Contractor.

Emergency Extension Option:

In the event of an emergency, upon mutual agreement with the contractor(s), CALPIA may extend the contract for up to one (1) additional year beyond the stated term and any noted extensions. Extensions during this period may occur in various increments until the establishment of a new contract. The total of the Emergency Extension Option terms shall not exceed one (1) additional year. All original Terms and Conditions shall remain the same during the extensions. Emergency Extension Option may be exercised in the event that a replacement contract cannot be established due to the protest of Intent to Award, loss of key CALPIA procurement staff, or other circumstances that would otherwise cause an unanticipated disruption to CALPIA’s Poultry Processing Enterprise.

Contract Modifications:

Any contract resulting from this IFB may be amended, modified, or terminated at any time by mutual agreement of contracting parties stated in writing. Change orders amending, modifying, or terminating the contract, including any modification of the compensation payable, may be issued only by the CALPIA Procurement Officer. Termination, as that term is used above, does not include termination for default of the Contractor.

Ordering Procedure:

Orders are to be issued by CALPIA on a Purchase Order (PIA-099) and sent directly to the Contractor. Price is per the attached price sheet.

Freight On Board (F.O.B.) Point:

For the purpose of the bid, only bids quoting F.O.B. Destination will be accepted. Bids quoting other than F.O.B. Destination will be rejected.

Minimum Order:

The minimum order is a standard 48’ tractor trailer load at one time, with approximately 11,000 sets of boxes and lids per load. Orders will be placed approximately once a month based upon CALPIA’s customer needs.

Preparation for Delivery:

Packaging: The boxes and lids must be on separate pallets in a knocked down (K.D.) condition, securely banded or strapped, and lided with plastic so they are protected from damage due to handling security, weather, loading, unloading, etc.

Exterior packaging must show the contents and the purchase order number. All packaging shall conform to the applicable freight classifications, I.C.C. and/or postal regulations, and is to be of a quality to assure final delivery without damage to the contents.

A packing slip shall accompany each shipment and show the contract and order numbers, contents, and the quantity shipped.

Palletizing: The pallet load shall be banded with a minimum of two (2) bands on the open side (lift side).

Marking: Each pallet load shall be marked with the quantity, CALPIA item number, and either purchase order number or contract number.

Shipping: Box and lid to be bound on properly sized pallets/skids using plastic strapping and each pallet/skid must be lided with plastic. All edges must be protected from bending or crimping or other damage by use of plastic corner protector, wood stringers, or other suitable means. Individual pallets shall not exceed 55” in height and total weight not to exceed 4000 lbs.

All deliveries must be of a type to facilitate safe unloading using a standard 4000 lb. forklift. All materials shall be protected from weather during transit.

Delivery:

The items are to be delivered when and as requested within twenty-one (21) calendar days after notification by the ordering agency, Monday through Friday, 8:00 a.m. to 3:00 P.M. Weekend or holiday deliveries cannot be accepted without prior approval in writing by ordering agency. No railspur to the delivery address. Any single failure to deliver in a timely manner will be considered a material breach of this contract by the Contractor.

It shall be the Contractor’s responsibility to obtain proper clearance for delivery drivers prior to any and all deliveries. Contact the institution listed for the driver clearance procedure.

Delivery Address: Delivery sites may be added as deemed necessary by CALPIA.

California Prison Industry Authority Avenal State Prison #1 Kings Way Avenal, CA 93204 Phone: (559) 386-6065 Fax: (559) 386-7404

Billing Address:

Prison Industry Authority Avenal State Prison P.O. Box 8 Avenal, CA 93204 ATTN: PIA Accounting (559) 386-6062

Invoicing Requirements:

After each shipment, an invoice must be submitted to the address specified on the purchase order. The invoice shall reference the contract and order numbers, date of shipment, quantity, unit costs, and extensions. Cost on invoices shall be in accordance with unit of measure shown on the order. State sales and/or use tax is to be added to each invoice.

Corrective Action Plan:

Should there be any issue with quality of the product, CALPIA can request a written Correction Action Plan (CAP) from the Contractor. A CAP will be provided no later than three (3) business days from time that the incident is reported to the Contractor. The CAP will contain the nature of the reported issue, what immediate actions are taking place to correct the problem, and actions implemented to prevent the problem from reoccurring. The CAP can also contain any other relevant information that the Contractor deems necessary to explain the situation. Depending on the circumstances, CALPIA may issue a Vendor Performance Report (Form BSS-F024).

Breach of Contract:

Any single late or non-compliant delivery will be deemed a material breach of the contract and may initiate default proceedings in accordance with the General Provisions Section 61, Rights and Remedies of State for Default and Section 72, Terminate for Default. Prior to default, a cure notice will be issued with specific demands for the supplier. Failure to comply will result in default of the contract. Any additional breach of the terms of the contract may result in immediate termination of the contract.

Payment:

Payment terms for this contract are net 45 days. Payment will be made in accordance with the provisions of the California Prompt Payment Act, Government Code Section 927 etc. seq.

Unless expressly exempted by statute, the Act requires State agencies to pay properly submitted, undisputed invoices not more than 45 days after (a) the date of acceptance of goods or performance of services or (b) receipt of an undisputed invoice, whichever is later. Under no circumstances will CALPIA be subject to late payment fees or interest charges.

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. The EO directs state agencies to terminate contracts with, and to refrain from entering into any new contracts with, individuals or entities that are determined to be a target of Economic Sanctions. Accordingly, should the State determine Contractor is a target of Economic Sanctions or is conducting prohibited transactions with sanctioned individuals or entities, that shall be grounds for termination of this agreement.

The State shall provide Contractor advance written notice of such termination, allowing Contractor at least 30 calendar days to provide a written response. Termination shall be at the sole discretion of the State.

Executive Order N-12-23 – Generative Artificial Intelligence (GenAI)

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 new technologies. Bidder / Offeror / Contractor must notify the State in writing if their solution or service includes, or makes available, any GenAI technology, including GenAI from third parties or subcontractors.

The State has developed a GenAI Disclosure & Factsheet (STD 1000) to be completed by the Bidder / Offeror / Contractor. Failure to submit the GenAI Reporting and Factsheet (STD 1000) will result in disqualification of the Bidder / Offeror / Contractor.

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

Upon receipt of a Bidder / Offeror / Contractor GenAI Reporting and Factsheet (STD 1000), 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.

Samples: DO NOT SEND SAMPLES UNLESS REQUESTED

Samples of the unprinted box and lid (lid) may be required prior to final award of bid. The samples must be identical in shape and size to the boxes and lids offered in the bid. Within ten

(10) business days of the request by CALPIA, bidder shall submit three (3) unassembled boxes with lids for evaluation.

Each box must have a box certificate with the Manufacturer’s name and Edge Crush Test (ECT) 44 (board combination of 56/23/56) stamped on the bottom of the box, or a certificate from a certified testing agency stating that the box has an ECT 44 (board combination of 56/23/56).

The certificate on the bottom of the box cannot conflict with certified testing results. If a box does not have a box certificate with the Manufacturer’s name and the ECT 44 stamped on the bottom of the box, or a certificate from a certified testing agency stating that the box has an ECT 44, the sample will be rejected. The bidder will not be allowed to re-submit corrected samples.

Each lid must have a box certificate with the Manufacturer’s name and an ECT 32 stamped on the lid, or a certificate from a certified testing agency stating that the lid has an ECT 32. The box certificate on the lid cannot conflict with certified testing results. If the lid does not have a box certificate with the Manufacturer’s name and the ECT 32 stamped on the lid, or a certificate from the a certified testing agency stating that the lid has an ECT 32, the sample will be rejected. The bidder will not be allowed to re-submit corrected samples.

Please read the specification and see the drawings (Exhibits B & C) for acceptance criteria.

The sample boxes are expected to fold into shape. Samples must meet the “Workmanship” specifications stated in the Invitation for Bid.

EXHIBIT A

EXHIBIT B

34-3/16”

23-3/16”5-1/2” 5-1/2”

-3

/4

-1

/2

3- 1/

8” 3-

1/ 8”

2-1/2”

Note: Not to scale

EXHIBIT C

CALIFORNIA PRISON INDUSTRY AUTHORITY

Invitation for Bid #RW2406010

WAXED POULTRY BOXES and LIDS

REQUIRED ATTACHMENT CHECK LIST

COMPANY NAME:

A complete bid or bid package will consist of the items identified below.

Complete this checklist to confirm that the items listed below have been included with your bid.

Place a check mark or “X” next to each item that you are submitting. For your bid to be responsive, all required attachments must be returned. This checklist should also be returned with your bid package.

Attachments Attachment Name/Description

_____ Exhibit 1 Contract Price Sheet

_____ Exhibit 2 Bidder/Supplier Responsibility Information

_____ Exhibit 3 Bid/Bidder Certification Sheet

_____ Exhibit 4 Darfur Certificate

_____ Exhibit 5 Economic Sanctions Certification

_____ STD 204 Payee Data Record

_____ STD 205 Payee Data Record Supplement NOTE: Only required if additional remittance addresses or additional authorized representatives need to be identified

_____ CalRecycle 74 Postconsumer Recycled-Content Certification

_____ STD 1000 GenAI Reporting & Factsheet Form

California Prison Industry Authority (CALPIA) Exhibit 1

CONTRACT PRICE SHEET

The estimated quantities indicated below will be used solely for computing the cost as a fair and equitable formula to determine the best value bidder. They are not binding upon the contracting agency, as the order volume and frequency depends upon CALPIA’s customer needs. However, the actual costs quoted by the bidder shall be binding for the term of the Agreement.

In case of discrepancy between the unit price and the total set forth for a unit basis item, the unit price shall prevail.

NOTE: 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.

ITEM

NO.

ESTIMATED

QUANTITY

UNIT DESCRIPTION

UNIT

PRICE

EXTENSION

1 75,000 EA

Waxed Poultry Box ECT 44 (Board Combination of 56/23/56) Kraft Paper, Wax Curtain Coat, Water Resistant Adhesive

PIA # 0008.855

Manufacturer: ____________________

2 75,000 EA

Waxed Poultry Lid

ECT 32

Kraft Paper, Wax Curtain Coat, Water Resistant Adhesive

PIA # 0008.856

Manufacturer: ____________________

Total Bid Price (Sum of Extended Prices for Lines 1 and 2): $________________________

Bidder to complete: Name and Address to which orders are to be sent:

Company Name:

Street Address:

City/State/Zip:

Phone: Fax:

Supplier Contact:

Contractor shall have, preferably in California, a contact person available during the hours of 8:00 A.M. to 5:00 P.M. on weekdays to answer questions regarding product, orders, or other areas in relation to the contract and the State’s needs.

All questions shall be answered within twenty-four (24) hours (except on weekends or holidays).

Contact person:

Phone Number: Fax number:

Email Address:

Exhibit 2

Bidder/Supplier – Materials, Responsibility Information

The intent of these questions is to establish that the bidder has secured the necessary production, distribution and financial resources to perform the contract being proposed.

Except in cases when CALPIA concludes that a specified brand name is the only one that will meet the needs of CALPIA, all commodities shall be entered into with the best value bidder meeting all specifications. Responsibility in this context relates to the bidder’s qualifications and capability to successfully fulfill the requirements of the Invitation for Bid (IFB). A bidder is deemed not responsible when they have demonstrated a lack of reliability in complying with and completing previously awarded State/Private contracts. Prior to awarding the contract related to this IFB, CALPIA’s Authorized Representative will determine whether the proposed awardee is responsible. In order to obtain information necessary to establish a bidder’s responsibility, each bidder shall complete the information requested below.

Failure to complete these questions may cause your offer to be rejected as non-responsive. Incomplete, vague or misleading responses could cause your offer to be rejected as non-responsible. Use additional sheets as necessary to provide all the requested information.

Bidders who are manufacturers should be able to directly respond to the questions. Non-manufacturers may need to consult with their supply chain to properly complete each question. The burden of proof lies with the bidder to prove, to CALPIA’s satisfaction, that the bidder has adequate knowledge and control of the supply chain being utilized.

1. (A) If you are not the manufacturer, please list your role in the supply chain and list all points of business interaction(s) between the manufacturer and your firm. (Manufacturer/Producer, wholesaler/broker, warehousing/distribution)

Please be prepared to provide a written agreement between your firm and your supplier upon request. If your supplier is not the manufacturer, please also be prepared to provide a written agreement between the manufacturer and your supplier. If there is no written agreement between these two parties, to provide upon request supporting documents showing that they have worked together in the past.

1. (B) Name and address of the manufacturer and any other key parties utilized:

Exhibit 2

2.) How long has your firm been part of this supply chain? If less than 2 years, then please provide names of all the suppliers relative to this solicitation with whom you have worked in the past 2 years:

3.) How much business have you successfully completed as part of the supply chain described above? (Total dollar values, length of contract, product types, and geographic areas supplied.

4.) Names(s) of packaging and shipping firms(s) to be utilized for this contract.

5.) Have you ever had a contract terminated prior to its designated end date/term? If yes, please explain circumstances for each such contract termination.

6.) Using the format below, list contracts that you were awarded within the last five years with a value of at least 50% of the value of the contract to be awarded herein, which demonstrate your ability to meet the requirements of the proposed contract.

Contract Number: ____________________________________________________________________________________________ Description of product/services: _________________________________________________________________________________ Contract Value ($):____________________________________________________________________________________________ Contract Award Date: _________________________________________________________________________________________ Required Delivery or Completion Date: ___________________________________________________________________________ Actual Delivery or Completion Date: _____________________________________________________________________________ Customer Contact Information (Name, phone number and email): ______________________________________________________

Business Services Section will review your past performance. A history of late or non-compliant deliveries on past or present contracts may cause your bid to be rejected.

Exhibit 3

BID/BIDDER CERTIFICATION SHEET

This Bid/Bidder Certification Sheet must be signed and returned along with other bid/quote documents as an entire package with original signatures.

A. _____% Cash discount for payment within __________ days of receipt. (See Bidders Instructions Item 26 for complete instructions on offering Cash Discounts.)

B. All required attachments are included with this certification sheet.

C. The signature affixed hereon and dated is authorized to bind the bidding firm contractually and certifies compliance with all the requirements of this bid document. The signature below authorizes the verification of this certification.

An Unsigned Bid/Bidder Certification Sheet May Be Cause For Rejection

1. Company Name 2.a Telephone Number 2.b. Fax Number

3. Address

Indicate your organization type:

4. Sole Proprietorship 5. Partnership 6. Corporation

Indicate the applicable employee and/or corporation number:

7. Federal Employee ID No. (FEIN/SSN)

8. California Corporation No.

9. Indicate applicable license and/or certification information:

Contractor’s State Licensing Board Number:

10. PUC License Number CAL- T:

11. Other Licenses:

12. Bidder’s Name (Print) 13. Title

14. Signature 15. Date

16. For accounting reporting purposes, please provide the following information: Are you certified with the California Department of General Services, Office of Small Business Certification and Resources (OSBCR) as:

a. California Small Business Micro Business Yes No Yes No

If yes, enter certification number below: Expiration Date:

b. Disabled Veteran Business Enterprise Yes No

If yes, enter your service code below:

Qualifying Experience:

Exhibit 3

Completion Instructions for Bid/Bidder Certification Sheet

Complete the numbered items on the Bid/Bidder Certification Sheet by following the instructions below

Item Numbers

Instructions

1, 2a, 2b, 3

Must be completed. 1. Enter your name if sole proprietor or independent Contractor. All other items are self-explanatory.

Check if your firm is a sole proprietorship. A sole proprietorship is a form of business in which one person owns all the assets of the business in contrast to a partnership and corporation. The sole proprietor is solely liable for all the debts of the business.

Check if your firm is a partnership. A partnership is a voluntary agreement between two or more competent persons to place their money, effects, labor, and skill, or some or all of them in lawful commerce or business, with the understanding that there shall be a proportional sharing of the profits and losses between them. An association of two or more persons to carry on, as co-owners, a business for profit.

Check if your firm is a corporation. A corporation is an artificial person or legal entity created by or under the authority of the laws of a state or nation, composed, in some rare instances, of a single person and his successors, being the incumbents of a particular office, but ordinarily consisting of an association of numerous individuals.

Enter your federal employee tax identification number.

If you are a corporation: Enter your corporation number assigned by the California Secretary of State’s Office. This information is used for checking if a corporation is in good standing and qualified to conduct business in California.

Complete if your firm holds a California Contractor’s license. This information will used to verify possession of a Contractor’s license for public works agreements.

Complete if your firm holds a PUC license. This information will be used to verify possession of a PUC license for public works agreements.

Complete, if applicable, by indicating the type of license and/or certification that your firm possesses and that is required for the type of services being procured.

12, 13, 14, 15 Must be completed. These items are self-explanatory.

This information is requested by CALPIA Accounting. If certified as a Small Business Enterprise/Micro Business, place a check in the "Yes" box, and enter your certification number on the line. If certified as a Disabled Veteran Business Enterprise, place a check in the "Yes" box and enter your service code on the line. If you are not certified to one or both, place a check in the "No" box.

11/16, Rev. E BSS-F017 Page 1 of 1

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.

OPTION #1 – DOMESTIC ONLY

If your company has not, within the previous three years, had any business activities or other operations outside of the United States, initial here and submit with your bid package. (Initial ______)

OPTION #2 - CERTIFICATION

If your company, within the previous three years, has had business activities or other operations outside of the United States, in order to be eligible to submit a bid or proposal, please insert your company name and Federal ID Number and complete the certification below.

I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that the prospective proposer/bidder named below is not a scrutinized company per Public Contract Code 10476; and I am duly authorized to legally bind the prospective proposer/bidder named below. This certification is made under the laws of the State of California.

Company/Vendor Name (Printed) Federal ID Number

By (Authorized Signature)

Printed Name and Title of Person Signing

Date Executed Executed in the County and State of

OPTION #3 – WRITTEN PERMISSION FROM DGS

Pursuant to Public Contract Code section 10477(b), the Director of the Department of General Services may permit a scrutinized company, on a case-by-case basis, to bid on or submit a proposal for a contract with a state agency for goods or services, if it is in the best interests of the state. If you are a scrutinized company that has obtained written permission from the DGS to submit a bid or proposal, complete the information below.

We are a scrutinized company as defined in Public Contract Code section 10476, but we have received written permission from the Department of General Services to submit a bid or proposal pursuant to

Public Contract Code section 10477(b). A copy of the written permission from DGS is included with our bid or proposal.

Company/Vendor Name (Printed) Federal ID Number

Initials of Submitter

Printed Name and Title of Person Initialing

EXHIBIT 4

5/5/2022, Rev. B BSS-F069 Page 1 of 1

ECONOMIC SANCTIONS CERTIFICATION

On March 4, 2022, Governor Gavin Newsom issued Executive Order N-6-22 (EO) regarding sanctions against Russia and Russian entities and individuals. The EO is located at https://www.gov.ca.gov/wp-content/uploads/2022/03/3.4.22-Russia-Ukraine-Executive-Order.pdf.

As a potential vendor, contractor, or grantee, compliance with the economic sanctions imposed in response to Russia’s actions in Ukraine is required, including with respect to, but not limited to, the federal executive orders identified in the EO and the sanctions identified on the U.S. Department of the Treasury websites (https://home.treasury.gov/policy-issues/financial-sanctions/sanctions-programs-and-country-information/ukraine-russia-related-sanctions and https://home.treasury.gov/news/press-releases/jy0608). Failure to comply may result in the termination of purchase orders, contracts, or grants, as applicable.

In order to be eligible to submit a bid, proposal, or conduct business with CALPIA, please complete the following certification and return with your bid documents or as otherwise requested.

I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that the prospective proposer/bidder named below is in compliance with the economic sanctions imposed by the U.S.

government in response to Russia’s actions in Ukraine, as well as sanctions imposed under state law, if any, and I am duly authorized to legally bind the prospective proposer/bidder named below.

This certification is made under the laws of the State of California.

Company/Vendor Name (Printed) Federal ID Number

By (Authorized Signature)

Printed Name and Title of Person Signing

Date Executed Executed in the County and State of

EXHIBIT 5

https://www.gov.ca.gov/wp-content/uploads/2022/03/3.4.22-Russia-Ukraine-Executive-Order.pdf https://www.gov.ca.gov/wp-content/uploads/2022/03/3.4.22-Russia-Ukraine-Executive-Order.pdf https://home.treasury.gov/policy-issues/financial-sanctions/sanctions-programs-and-country-information/ukraine-russia-related-sanctions https://home.treasury.gov/policy-issues/financial-sanctions/sanctions-programs-and-country-information/ukraine-russia-related-sanctions https://home.treasury.gov/news/press-releases/jy0608