IFB.RW2411007_Bread_Base.pdf

PDF 3 MB Posted

Attached to
RW2411007 Bread Base
Solicitation number
0000031996
Issued by
San Diego County, San Diego City, California

About this file

This document is an Invitation for Bid (IFB) issued by the California Prison Industry Authority (CALPIA) for bread base to be used at the CALPIA Bakery Enterprise at R.J. Donovan Correctional Facility in San Diego, California. The contract will be awarded on a best value basis and the estimated two-year quantity is 150,000 pounds. Bids are due by August 1, 2024 at 3:00pm. The contract term is anticipated to be two years, with an optional one-year extension.

The pricing for the bread base will be firm for the first year of the contract, with potential price adjustments allowed in subsequent years based on changes to the contractor's material costs. No small business, DVBE, or other preferences will be granted. Samples may be required prior to award, and the contractor must comply with state sanctions against Russia and Russian entities. The contract will be awarded on an all-or-none basis to the bidder providing the best value to CALPIA.

View the file

Other files

File Type Posted
Bidders_Instructions_General_REV_524.pdf PDF
General_Provisions_REV_0524.pdf PDF

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

State of California Department of Corrections and Rehabilitation

July 5, 2024

INVITATION FOR BID (IFB)

IFB # RW2411007

Notice to Prospective Contractors

The California Prison Industry Authority (CALPIA) invites you to review and respond to this Invitation for Bid (IFB), entitled RW 2411007 for BREAD BASE. In submitting your bid, you must comply with the instructions found herein.

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: RW2411007 IFB Name: BREAD BASE 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: AUGUST 1 , 2024 by 3:00 pm

CALPIA Contact Return Bid To:

Ann Harbaugh Mobile: (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 covers the estimated two (2) year requirement of BREAD BASE for the California Prison Industry Authority (CALPIA) BAKERY ENTERPRISE at R.J. Donovan Correctional Facility in San Diego, California.

Term: It is anticipated that 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 for one (1) year by mutual agreement of CALPIA and the contractor.

mailto:Lisa.Horrell@calpia.ca.gov

IFB #RW2411007 Page 2 of 6

BREAD BASE

The contract award will be made on the basis of BEST VALUE as determined by CALPIA alone, under statutory authority 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 Standard Organization (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.

Ann Harbaugh Contract Analyst

IFB #RW2411007 Page 3 of 7

Method of Award:

This bid shall be awarded on an “All or None” basis to the bidder(s) deemed by CALPIA, at its sole discretion, to offer the best value, which 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.

Specifications:

Bidders should reference Attachment A, the California Prison Industry Authority Commodity Standard for “Bread Base” dated June 2012. Bidders shall provide a list of ingredients with the percentages as part of their bid response. Failure to provide such documentation may result in the bid being considered non-responsive.

Performance:

Performance is the responsibility of the contract holder and cannot be assigned to a subcontractor unless CALPIA consents to the assignment of subcontractor in advance and in writing. 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 two (2) years from its effective date, unless extended or terminated. However, 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 are estimated and are the anticipated contract purchase pattern. The State will not be obligated to purchase the contractor’s excess inventory if actual purchases vary from the anticipated purchase pattern.

Please Note:

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

Ordering Procedure:

Upon execution of the contract, orders will be issued by CALPIA on a Purchase Order and sent directly to the contractor.

Minimum Order:

Minimum order shall consist of no less than five (5) pallets, each pallet weighing approximately 2,250-2,500 pounds apiece.

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

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

IFB #RW2411007 Page 4 of 7

Delivery:

The items are to be delivered when and as requested, within 5 calendar days after receipt of order or notification by the ordering agency, Monday through Friday, 8:00 a.m. to 2:30 p.m. The frequency of orders is expected to be quarterly. Weekend or holiday deliveries cannot be accepted without prior approval in writing by ordering agency. Any single failure to deliver in a timely manner will be 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.

Prison Industry Authority Warehouse R.J. Donovan Correctional Facility 480 Alta Road San Diego, CA 92179 Attention: CALPIA Bakery – Roman Castillo Phone: (619) 661-6500 ext. 6525

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.

Cost to Cover:

Any failure to perform its obligations under the contract by the contractor shall, in addition to any other remedies available to CALPIA, entitle CALPIA to recover from the contractor the difference between the contractor’s price and an alternate supplier’s higher price in the event that CALPIA chooses to pay an alternate supplier a higher price for goods or services that the contractor fails to provide in a timely fashion.

Contract Modifications:

This contract may be amended at any time by mutual agreement of contracting parties, 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.

Invoicing Requirements:

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

IFB #RW2411007 Page 5 of 7

Rates:

The prices issued on a contract resulting from this IFB will be firm for the first year of the contract. After the first year, the prices may be adjusted upon mutual agreement of CALPIA and the Contractor. Any adjustment for price increase or decrease shall be based on documented changes to the Contractor’s costs of materials. The Contractor may request new pricing by submitting the proposed contract price changes up to 30 days prior to the anniversary month that the contract was issued for CALPIA’s review and approval.

Packaging:

Packaging shall be in bags or lined boxes weighing no more than fifty pounds each. Each box or bag shall be labeled with the commodity, brand name, and net weight and purchase order number. Each box or bag shall be palletized and shrink-wrapped. 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. A list of ingredients shall be included with each shipment.

Samples: Do not send unless requested by CALPIA

Samples may be required prior to bid award. Only samples with the right percentages of ingredients will be accepted. Samples shall be supplied in six (6) fifty pound bags of bread base and include the listing of ingredients with percentages. If requested, such samples must be delivered within 8 calendar days after notification to the following address:

Prison Industry Authority Warehouse R.J. Donovan Correctional Facility 480 Alta Road San Diego, CA 92179 Attention: Roman Castillo

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.

IFB #RW2411007 Page 6 of 7

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.

IFB #RW2411007 Page 7 of 7

CALIFORNIA PRISON INDUSTRY AUTHORITY

Invitation for Bid RW2411007

REQUIRED ATTACHMENT CHECKLIST

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. Print on one side only.

Required Documentation

_____ List of Ingredients with Percentages

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: For use only if additional remittance addresses or additional authorized representatives need to be identified

_____ STD 1000 GenAI Reporting & Factsheet Form

ATTACHMENT A

CALIFORNIA PRISON INDUSTRY AUTHORITY

COMMODITY STANDARD

BREAD BASE

June 2012

SCOPE

This Commodity Standard covers the requirements for a bread base, which will be used by the CALPIA Bakery at R.J. Donovan Correctional Facility at San Diego, CA. The bread base shall be an aggregate mix of pre-scaled, pre-proportioned minor ingredients that, when mixed with major materials (flour, yeast, water, oil), becomes an integral part of the finished bread product. The addition of the bread base will result in a finished dough, which will have better tolerance during the proofing and baking process.

REQUIRMENTS

1. The bread base shall contain the following:

Salt 2.0% Dextrose 1.55% Sugar 1.35% Soybean oil .04% Conditioners .03% Enzymes .03%

All percentages are based on 5 pounds of base added to 100 pounds of flour.

2. Bread base shall not contain potassium bromate.

3. Bread base shall be capable of fully developing both white and wheat bread dough mixes at a mix temperature of 78-82 degrees Fahrenheit. Horizontal high speed dough mixers (Oshikiri Machinery Ltd. Model HM-1000 and HM-1300) will be used to mix the dough.

4. A maximum of 5 pounds of bread base shall be required for every 100 pounds of flour.

PACKAGING

Product shall be supplied in lined boxes or bags which contain fifty (50) pounds of product. Each box or bag shall be labeled with the commodity name, brand name, and net weight. A list of ingredients shall be included with each shipment.

STORAGE

Product shall be stored in a dry, cool area and have a shelf life of a minimum six (6) months.

IFB #RW 2411007 Exhibit 1 BREAD BASE Page 1 of 1

CONTRACT PRICE SHEET

The estimated two-year quantity indicated below will be used solely for computing the cost as a fair and equitable formula to determine the best value bidder. It is not binding upon the contracting agency. 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

2-YEAR

QUANTITY

UNIT DESCRIPTION UNIT PRICE EXTENSION

1 150,000 LB

BREAD BASE, POWDER

PIA #0026.463

$______/LB $______________

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

Business Name:

Street Address:

City/State/Zip:

Phone: Fax:

Email:

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

File details come from the government source that posted it. Updated .