IFB_RW2424003_License_Plate_Envelopes.pdf

May 1, 2024

INVITATION FOR BID (IFB)

IFB # RW2424003

Notice to Prospective Contractors

The California Prison Industry Authority (CALPIA) invites you to review and respond to this Invitation for Bid (IFB), entitled RW2424003 for Department of Motor Vehicles (DMV) License Plate Envelopes. 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: RW2424003 IFB Name: DMV License Plate Envelopes Attention: Sadaqatullah Sahak 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 May 21, 2024 by 3:00 pm (PST) CALPIA Contact: Return Sealed Bid To:

Sadaqatullah Sahak Phone: (916) 358-1504

Email: Sadaqatullah.Sahak@calpia.ca.gov

California Prison Industry Authority Attention: Sadaqatullah Sahak

560 East Natoma Street Folsom, CA 95630

This IFB covers the estimated annual requirement of License Plate Envelopes for the California Prison Industry Authority (CALPIA) License Plate enterprise located at the Folsom State Prison in Represa, California.

Term: Any contract resulting from this solicitation will begin on 7/1/24 and 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:Sadaqatullah.Sahak@calpia.ca.gov

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 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.

Contract Dollar Value:

Any contract resulting from this bid will expire two (2) year from its effective date unless extended. 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 for each line item are estimated and are the anticipated contract purchase pattern. 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.

This bid covers the estimated annual (one year) requirement of license plate envelopes per the Commodity Standard Bid Specifications dated May 2020 (Attachment A). The CALPIA License Plate Enterprise supplies these envelopes to California’s Department of Motor Vehicles per their specifications. A PDF version of the art work for both the auto/trailer and the motorcycle plates are included as Attachment B in the bid package. For an actual hard copy of each envelope, contact the Contract Analyst listed on the first page.

Bid Submittal:

Costs for developing bids are entirely the responsibility of the bidder and shall not be charged to

CALPIA.

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

A bidder may withdraw its bid by submitting a written withdrawal request to CALPIA signed by the bidder. 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.

Please Note:

Only bids quoted on the State’s own Contract Price Sheet (Exhibit 1) 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 Contract Price Sheet if there is a discrepancy between the unit price and the extension price, the unit price shall prevail.

Responsible Bidder:

Bidders must complete and return all attachments to this Invitation for Bid (IFB). Bidders 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. Please complete the Bidder/Supplier Responsibility Information form (Exhibit 2) and return it with your bid.

Performance:

Performance is the responsibility of the contact 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 Contract Price Sheet, Supplier Contact section, and provide required information.

Breach of Contract:

Any single late or non-compliant delivery will be deemed a material breach of the contract and will entitle CALPIA to terminate the contract immediately.

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.

Rates:

The contractor is bound to honor all rates set forth on the Contract Price Sheet (Exhibit 1) as the maximum it may charge CALPIA, but rate reductions during the term of the contract are permitted. The contractor must give CALPIA written notice of the reduced rate.

Purchases outside of the contract:

During the term of any contract resulting from this bid, CALPIA may, as its sole discretion, purchase same or similar goods from a source other than the contractor. The contractor may be allowed to offer goods at a reduced price. In the event that the goods are purchased from the contractor at a reduced price, such purchase shall be considered a contract purchase, and all other terms and conditions of the contract shall remain in full force and effect.

Emergency Purchase:

In the event of an emergency as determined by CALPIA at CALPIA’s sole discretion, CALPIA my purchase any required line item from other than the contractor.

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.

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 Enterprises.

Ordering Procedure:

Orders are to be issued by CALPIA on a Purchase Order and sent directly to the contractor.

Price are per the attached Contract Price Sheet.

Minimum Order:

The minimum order is 840 thousand (MX) envelopes in any combination of Line Item 1 and Line Item 2. Orders for less than this quantity will be considered non-contract any may be ordered from other than the contractor.

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.

Delivery:

The items are to be delivered when and as requested within 45 calendar days after notification by the ordering agency, Monday through Friday, 8:00 a.m. to 2:30 p.m. 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.

California Prison Industry Authority Folsom State Prison 300 Prison Road Represa, CA 95671 Contact: Superintendent II Phone: (916) 985-2561 ext. 4293

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.

Payment:

Payment terms for this contract are net forty-five (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 forty-five (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.

Cash Discounts:

For the purposes of this bid, CALPIA will consider cash discounts for bid evaluation purposes.

1. Contractor may offer any cash discount wished, however, for the purpose of bid evaluation when the cash discount offered exceeds five (5) percent, it will be calculated as five (5) percent in determining the lowest bidder. For example, if the bidder offers a cash discount of six (6) percent, for bid evaluation only, CALPIA will calculate the cash discount at five (5) percent when determining the lowest bidder.

2. For purposes of bid evaluation only, if the bidder offers a cash discount of less than twenty (20) days or less than one half (1/2) of one (1) percent, CALPIA will not adjust their bid for cash discount.

3. CALPIA has a history of taking cash discounts and intends to take advantage of cash discounts offered in response to this IFB when they are in the best interest of CALPIA.

Defective Material:

If material delivered to CALPIA is found to be defective, CALPIA may return the entire lot for reworking of replacement by the contractor. If CALPIA has rejected a lot of material and returned it to the contractor for reworking, the contractor may be required to ship enough material necessary, so the CALPIA plant does not have to slow down or shut down. The amount necessary will be determined by CALPIA. The shipments will be made at the contractor's expense.

Corrective Action Plan:

Should there be any issue with quality and/or damage to the final product, CALPIA can request a written Corrective Action Plan (CAP). A CAP will be provided to CALPIA from the contractor no later than three (3) business days from time that the incident is reported to the contractor contact. The CAP will contain the nature of the reported issue, what immediate actions are taking place to correct the problem, and how the problem is going to be prevented from occurring again. The CAP can also contain any other relevant information that the contractor feels is necessary to explain the situation. CALPIA may issue a vendor performance report based on the circumstances.

Samples:

Samples may be required at no cost to CALPIA prior to bid award. If requested, such samples must be delivered to the address specified in the request letter. The bidder’s first sample may be rejected without an opportunity to correct. The sample or samples furnished must be identical in all respects to the product or products being offered to CALPIA. See Bidder Instructions for further details.

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.

Bidders/Offerors 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. Failure to disclose GenAI to the State and submit the GenAI Disclosure & Factsheet will result in disqualification of the Bidder/Offeror and 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 GenAI Disclosure & Factsheet, 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.”

CALIFORNIA PRISON INDUSTRY AUTHORITY

COMMODITY STANDARD

LICENSE PLATE ENVELOPES

Specifications:

1.0 SCOPE

This specification describes Center Seam, Open-End type mailing envelopes for Auto/Trailer and Motorcycle license plates.

2.0 Applicable Specifications

Specifications and standards referenced in this document in effect on the opening of the Invitation for Bid, from a part of this specification where referenced.

3.0 REQUIREMENTS

3.1 Material

Envelopes shall be made from paper stock specifically manufactured for making envelopes f this application and may contain recycled material. Material shall be brown Kraft with basis weight 28 pounds plus or minus 5%, based upon 500 sheets, 17” x 22”.

3.2 DESCRIPTION

3.2.1 General

All envelopes shall be open-end type with center seam and shall be one piece construction with gummed and scored flap to facilitate closing and sealing. Gum shall be standard moister activated type. Gum line shall not extend into throat area when envelope is sealed.

Metal clasps are not acceptable.

Seams shall be firmly sealed to within 1/4” of top and/or edges of seam. No excess glue shall be present at seam edges. Glued seams shall be of greater strength than paper used in manufacture of envelopes.

Dimensional tolerance is minus zero to plus 1/8”.

3.2.2 Automobile/Trailer License Plate

Automobile/Trailer License Plate envelopes shall measure 6-5/8” top to bottom and 12-1/2” side to side. The envelopes shall have a 7/8” left and seam, and 1-3/8” right opening flap shall have a minimum 11/16” gum line depth. Center seam overlap shall be approximately 4- 1/2” on envelope back and shall open to “registration” pocket with 4” x 1-1/8” window.

Window shall be positioned 3-15/16” from bottom and 4” from left edge. “Registration” pocket on envelope back shall be side to side centered and no longer than 7-1/4” side to side. Area under overlap and outside of pocket shall be glued to prevent side-to-side movement of “Registration” while maintaining good mailing address readability through window.

ATTACHMENT A

REV MAY 2020 Page 8 of 30

Gumming and glue additions shall not transfer these adhesives to “registration” and shall provide secure envelope sealing. Center seam overlap, except at end seam and center positioned flap, shall have no other gumming requirements. Glue strips are required on each side of “Registration” pocket. Construction shall be 28-pound brown kraft paper. Printing on envelope face and back shall be with black ink. Refer to Attachment B for sample of text and format. Contact Contract Analyst to request hard copy envelope sample.

3.2.3 Motorcycle License Plate

Motorcycle License Plate envelope shall measure 4-1/2” top to bottom and 7-1/2” side to side with ¾” end seam and minimum 5/8” center seam overlap. Right opening flap shall measure 1-1/2” with gum line depth minimum ¾”. Open face window 1-1/16” x 3-7/8” on envelope front and shall be located 11/16” from bottom and 1-13/16” from left side.

Construction shall be 28-pound brown kraft paper. Printing face and back shall be with black ink. Refer to Attachment B for sample of text and format. Contact Contract Analyst to request hard copy envelope sample.

3.2.4 Printing

Envelopes shall be printed as specified in IFB, subject to final proof approval. Refer to Attachment B as a sample format of the envelope for the auto/trailer license plate. All printing shall be in compliance with U.S. Postal Service Publication 25 “Guide to Business Mail Preparation”.

When viewing envelope face and back, printing shall be upright and readable with flap opening on viewer right.

The CALPIA will provide printing format for both envelopes to the successful bidder.

Successful bidder shall submit Printing and Construction proofs within ten (10) working days after receipt of printing format from the State. Printing may be arranged on envelope as necessary to avoid printing on, or covering of print of any flaps, seams, etc. CALPIA shall have final approval on all construction and print placement. Supplier shall be notified by the CALPIA of proof(s) approval within five (5) days. supplier shall not commence production without approval of final construction and printing proofs.

3.3 workmanship Envelopes shall be product of good workmanship in accordance with recommendations of the Envelope Institute of America Standards. envelopes shall be free from defects that degrade appearance, performance, and serviceability.

4.0 QUALITY ASSURANCE PROVISIONS

4.1 Manufacturers Quality Assurance Program

The manufacturer/processor of envelopes shall have, prior to the bid opening date, a format written Quality Assurance Program for the control number identification, sampling, inspection, testing and documentation of the quality of raw materials, production process and finished product. This program shall be available for review by an authorized representative of the CALPIA during the bid evaluation period and throughout the contract term.

REV MAY 2020 Page 9 of 30

4.2 Sampling and Inspection

Envelopes will be sampled and inspected for compliance to this specification as deemed necessary. Sampling and inspection by attributes will be in accordance with American National Standards Institute/American Society of Quality Control ANSI/ASQC Z1.4-2003.

5.0 PREPARATION FOR DELIVERY

5.1 Packaging

Envelopes shall be packaged with flaps open. Envelopes for Automobile/Trailer license plates shall be packaged 1,000 per single wall, double face, and corrugated carton. Envelopes for Motorcycle license plates shall be packaged 2,000 per carton. Total weight of carton shall not exceed 65 pounds (29.5 kg).

The shipping carton shall have no slack space that will allow crushing or distortion from palletizing or stacking. The shipping carton shall comply with Rule 41, Corrugated or Solid Fiberboard Boxes, of the Uniform Freight Classification, Maker, Section 4 of Rule 41. The gross weight of the shipping carton shall not exceed that weight indicated by the Certificate.

5.2 Palletizing

Envelopes shall be shipped on 42” x 42” wooden pallets having a minimum quality level of “Commercial” as specified by the National Wooden Pallet and Container Association. The loaded pallet height shall be 60” maximum and loaded pallet weight shall not exceed 2,200 pounds.

Cartons shall be interlock stacked. If cartons are not interlock stacked, a corrugated fiberboard sheet shall be placed between each tier and pallet load banded four (4) ways to minimize shifting of cartons. Cartons shall be protected from cutting, crushing, or breaking resulting from banding pressure.

Carton shall be palletized such that contents can be identified from any of four pallet sides. All cartons on single pallet shall contain identical product (i.e. type, style, size, etc.).

5.3 Marking

All shipping cartons shall be marked with name of the contractor, CALPIA contract number, quantity, size, and description (i.e. Envelopes, License Plate, Auto/Trailer, etc.).

REV MAY 2020 Page 10 of 30

XXXXX

ATTACHMENT B

XXX

ATTACHMENT B

CALIFORNIA PRISON INDUSTRY AUTHORITY

Invitation for Bid RW2424003

DMV LICENSE PLATE ENVELOPES

REQUIRED ATTACHMENT CHECK LIST

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.

BIDDER’S COMPANY NAME:

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

_______CIWMB 74 Recycled Content Certificate

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. These quantities are not binding upon the contracting agency. However, the actual costs quoted by the bidder shall be binding for the term of the Agreement.

Extension price is calculated by multiplying the estimated quantity by the unit price. E.g.

5,000,000 each x $100.00 per thousand = $500,000.00 extended price.

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. QUANTITY UNIT DESCRIPTION UNIT PRICE EXTENSION

5,000

(5,000,000 each)

MX

Envelope License Plate Auto/Trailer Style 6 5/8” x 12 3/8”

CALPIA #0008.737

$_______/MX

2 100 (100,000 each) MX

Envelope License Plate Motorcycle Style 4 ½ “x 7 ½”

CALPIA #0005.080

$_______/MX

MX=THOUSAND

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:

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:

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.

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:

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.

7 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.

Exhibit 4

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

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 or proposal, please complete Option #1, or Option #2 below and return with your bid documents.

OPTION #1 – DOMESTIC ONLY

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

OPTION #2 – ECONOMIC SANCTIONS CERTIFICATION

If your company has had business activities or other operations outside of the United States, please complete the certification below:

I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that the prospective proposer/bidder named below has not had business dealings with Russia, or Russian entities and individuals, or with any other sanctioned entities identified on the U.S. Department of Treasury websites (identified above) 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

03/22, Rev. A BSS-F069 Page 1 of 1 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

STATE OF CALIFORNIA

Department of Resources Recycling and Recovery (CalRecycle)

CalRecycle 74 (Revised 01/23)

Postconsumer Recycled-Content Certification

To be completed by the State agency

State Agency:

Purchasing Agent: PO #:

Phone: E-mail:

The State Agency Buy Recycled Campaign (SABRC) is a state mandated program that requires the reporting of all purchases made within 16 specified product categories. All state agencies are required to verify the recycled-content of all products purchased within each of these categories.

All businesses shall certify the minimum percentage in writing to the contracting officer or his or her representative, if not the exact percentage, of postconsumer recycled-content (PCRC) material in the products, materials, goods, or supplies offered or sold to the State regardless of whether the product meets the minimum content requirements specified in law (see reverse side). The certification shall be furnished under penalty of perjury. The certification shall be provided regardless of content, even if the product contains no recycled material. A State agency may waive the certification requirement if the percentage of postconsumer material in the products, materials, goods, or supplies can be verified in a written advertisement, including, but not limited to, a product label, a catalog, or a manufacturer or vendor Internet website.

Public Contract Code sections 12205(a)(1), (2), (3) and (b)(1), (2), and (3)

Contractor/Company Name_________________________________________________________________________________

Address_____________________________________________________________________Phone_____________________

Purchase Order #

RFQ #

RFP #

IFB #

Cal Card Order #

Item # Product or Services Description 1Percent

Postconsumer

Recycled-

Content

Material

2SABRC

Product

Category

Code

M eets SA

B R

C

Pursuant to Public Contract Code 12205(b)(1), I certify under penalty of perjury under the laws of the State of California that the above information is true and correct.

Print Name Signature Title Date

FOOTNOTES:

“Postconsumer recycled-content material” is defined as products that were bought, used, and recycled by consumers. For example, a newspaper that has been purchased, recycled, and used to make another product would be considered postconsumer material.

“Product category” refers to one of the categories listed below, into which the reportable purchase is best placed.

If the product does not belong in any of the product categories, enter “N/A.” Common “N/A” products include wood products, aggregate, concrete, and electronics such as computers, TV, software on a disk or CD, and telephones.

For reused or refurbished products, there is no minimum content requirement. (PCC 12209(l))

California Department of Resources Recycling and Recovery (CalRecycle)

State Agency Buy Recycled Campaign (SABRC) - SABRC@CalRecycle.ca.gov

Code* Product Categories Product Subcategories Product Examples in each SABRC Category (PCC 12207 ) Examples include, but are not limited to, these individual products/materials.

Minimum Post-Consumer Content Requirement per Statute (PCC 12209 )

1A Paper Products Toilet Paper Toilet paper. 45 percent by fiber weight post-consumer fiber.

1B Paper Products Paper Towels Paper towels. 40 percent by fiber weight post-consumer fiber.

1C Paper Products Facial Tissues Facial tissue. 10 percent by fiber weight post-consumer fiber.

1D Paper Products Toilet Seat Covers Toilet seat covers. 20 percent by fiber weight post-consumer fiber.

1E Paper Products General Purpose Paper Wipes General purpose paper wipes. 40 percent by fiber weight post-consumer fiber.

1F Paper Products Food Serviceware Napkins, plates, bowls, food trays, takeout boxes, and placemats. 40 percent by fiber weight post-consumer fiber.

1G Paper Products Miscellaneous Paper Products Cartons, wrapping, packaging, file folders, hanging folders, building insulation and panels, corrugated boxes.

30 percent by fiber weight post-consumer fiber.

2 Printing and Writing Papers

Printing and Writing Papers Copy, xerographic, watermark, cotton fiber, offset, forms, computer printout paper, white wove envelopes, manila envelopes, book paper, note pads, writing tablets, newsprint, and other uncoated writing papers, posters, index cards, calendars, brochures, reports, magazines, and publications.

30 percent by fiber weight post-consumer fiber.

3A Soil Amendments and Toppings

Compost Soil amendments, soil conditioner for potting or plant mix, organic materials used for water conservation; organic materials such as biosolids or other comparable substitutes such as livestock, horse, or other animal manure, food residues or fish processing byproducts; mechanical breakdown of materials.

80 percent recovered material that would otherwise be normally disposed of in a landfill.

3B Soil Amendments and Toppings

Mulch Ground covers, weed suppressants. 80 percent recovered material that would otherwise be normally disposed of in a landfill.

4A Glass Products Glass Products Windows, test tubes, beakers, laboratory or hospital supplies, reflective beads, tiles, construction blocks, desktop accessories, flat glass sheets, loose- grain abrasives, deburring media, liquid filter media, and containers.

25 percent post-consumer, by weight.

4B Glass Products Fiberglass Fiberglass (insulation), 30 percent post-consumer, by weight.

5 Lubricating Oils Intended for use in a crankcase, transmission, engine, power steering, gearbox, differential chainsaw, transformer dielectric, fluid, cutting, hydraulic, industrial, or automobile, bus, truck, vessel, plane, train, heavy equipment, or machinery powered by an internal combustion engine.

70 percent re-refined base oil.

6 Plastic Products Printer or duplication cartridges, diskette, carpet, office products, plastic lumber, buckets, wastebaskets, containers, benches, tables, fencing, clothing, mats, packaging, signs, posts, binders, sheet, buckets, building products, garden hose, and trays.

20 percent postconsumer, by weight, 7A Paint: Low-VOC: < 50 grams/liter Water-based paint, graffiti abatement, interior and exterior, and maintenance. 50 percent post-consumer paint.

7B Paint: Other VOC: > 50 grams/liter

Water-based paint, graffiti abatement, interior and exterior, and maintenance. 50 percent post-consumer paint.

8 Antifreeze Recycled antifreeze, and antifreeze containing a bittering agent or made from polypropylene or other similar non-toxic substance.

70 percent post-consumer material.

9 Tires (Retreaded tires)

Truck and bus tires, and those used on fleet vehicles (and passenger cars where available).

Retreaded: Must use an existing casing that has undergone retreading or recapping process in accordance with Public Resource Code (commencing with section 42400).

10 Tire- Derived Products

Flooring, mats, wheelchair ramps, playground surfacing, sports surfacing, parking bumpers, bullet traps, hoses, bumpers, truck bedliners, pads, walkways, tree ties, wheel chocks, rollers, traffic-related products, mudflaps, accessibility ramps, paths and sidewalks, animal care products, including, but not limited to, horse arena surfacing, stall mats, cow mats, and equestrian barn and breezeway flooring, artificial turf, landscaping and rubber mulch, outdoor surfacing, pavers and tiles, and posts.

50 percent recycled used tires.

11A Metal Products Metal Products Staplers, paper clips, steel furniture, desks, pedestals, scissors, jacks, rebar, pipe, plumbing fixtures, chairs, ladders, file cabinets, shelving, containers, lockers, sheet metal, girders, building and construction products, bridges, braces, nails, and screws.

10 percent post-consumer material, by weight.

11B Metal Products Vehicles Vehicles. 10 percent post-consumer material, by weight.

12 Building Finishes

Open Office Panel Systems

Open office panel systems. Middle range of state contracts.

13 Carpet Carpet Determined by DGS and Posted in SCM.

14A Erosion Control Products

Compost Filter Socks Compost filter sock. 100 percent post-consumer material.

14B Erosion Control Products

Compost Blanket Compost blanket, layer of compost protecting bare soil surfaces. 100 percent post-consumer material.

14C Erosion Control Products

Hydraulic Mulch Hydraulic mulch or erosion control process that uses fiber slurry and tackifier. 100 percent post-consumer material.

15A Textiles Textiles 0 percent post-consumer material.

15B Textiles General Textile Wipes General purpose wipes. 100 percent post-consumer material.

16A Pavement Surfacing

Rubberized Pavement Surfaces

Rubberized asphalt concrete and chip seal. 15 percent post-consumer material.

16B Pavement Surfacing

Recycled Asphalt Pavement

Recycled Asphalt Pavement 25 percent post-consumer material.

*It is each agency’s prerogative to assign internal codes/object codes for post-consumer recycled content products based on their internal paper or computer tracking systems.

For additional information, please visit www.CalRecycle.ca.gov/BuyRecycled/StateAgency/

STATE OF CALIFORNIA

GENAI DISCLOSURE & FACTSHEET

STD 1000 (NEW 01/2024)

DEPARTMENT OF GENERAL SERVICES

PROCUREMENT DIVISION

Generative Artificial Intelligence (GenAI) Disclosure & Factsheet Bidder/Offer Information

Solicitation Number Bidder ID/Vendor ID (optional)

Business Name Business Telephone Number

Business Address

GenAI Disclosure & F actsheet

City State Zip Code

Will you be using or offering GenAI technology, model, or service (collectively, “system”)? Yes No (If No, skip to Signature section of this form.)

If yes, provide details regarding the GenAI system”). See GenAI Disclosure & Factsheet Definitions at the end of this form for more information.

Failure to disclose GenAI to the State and submit the detailed description may result in disqualification and may void any resulting contract.

1. GenAI Model Name, Version (including number of parameters)

2. Model Owner

3. Overview

4. Purpose

5. Intended Domain

6. Model Training Data

7. Model Information

STD 1000 (NEW 01/2024)

8. Input and Outputs

9. Performance Metrics

10. Optimal Conditions

11. Poor Conditions

12. Bias

13. Test Data

Explain below how you are ensuring the GenAI system is not adversely affecting “decisions that materially impact access to, or approval for, housing or accommodations, education, employment, credit, health care, and criminal justice.” (AB 302, Department of Technology: High-Risk automated decision systems: inventory).

Signature

By signing this document, I certify that I have identified and disclosed, if any, all GenAI components in the proposed solution or service.

Signature Date

GenAI Disclosure & Factsheet Definitions Please use the following definitions to complete the GenAI Disclosure and Factsheet:

1. Model Name, Version & Number of Parameters:

• Definition: The unique identifier or name assigned to the specific GenAI model or service.

•…