IT-2026-212-RB-Attach-I-Small-Biz-Decl.docx
DOCX document 31 KB Posted
- Solicitation number
- 0000040151
- Issued by
- Alameda County, Alpine County, Amador County, Butte County, Calaveras County, Colusa County, Contra Costa County, Del Norte County, El Dorado County, Fresno County, Glenn County, Humboldt County, Imperial County, Inyo County, Kern County, Kings County, Lake County, Lassen County, Los Angeles County, Madera County, Marin County, Mariposa County, Mendocino County, Merced County, Modoc County, Mono County, Monterey County, Napa County, Nevada County, Orange County, Placer County, Plumas County, Riverside County, Sacramento County, San Benito County, San Bernardino County, San Diego County, San Francisco County, San Joaquin County, San Luis Obispo County, San Mateo County, Santa Barbara County, Santa Clara County, Santa Cruz County, Shasta County, Sierra County, Siskiyou County, Solano County, Sonoma County, Stanislaus County, Sutter County, Tehama County, Trinity County, Tulare County, Tuolumne County, Ventura County, Yolo County, Yuba County, Alameda City, Alpine Village CDP, Amador City, Amador Pines CDP, Sutter Creek City, Butte Creek Canyon CDP, Butte Meadows CDP, Butte Valley CDP, Rancho Calaveras CDP, Colusa City, Contra Costa Centre CDP, Auburn Lake Trails CDP, El Dorado Hills CDP, Placerville City, South Lake Tahoe City, Fresno City, Kingsburg City, Orange Cove City, San Joaquin City, Shaver Lake CDP, Blue Lake City, Humboldt Hill CDP, Imperial City, Alta Sierra CDP, China Lake Acres CDP, Glennville CDP, Inyokern CDP, Kernville CDP, Lake Isabella CDP, Lake of the Woods CDP, Lakeside CDP, Hidden Valley Lake CDP, Lakeport City, Lower Lake CDP, North Lakeport CDP, Upper Lake CDP, East Los Angeles CDP, Elizabeth Lake CDP, Lake Hughes CDP, Lake Los Angeles CDP, Lakewood City, Los Angeles City, Marina Del Rey CDP, Monterey Park City, San Marino City, Sierra Madre City, Bass Lake CDP, Madera City, Madera Acres CDP, Madera Ranchos CDP, Yosemite Lakes CDP, Corte Madera Town, Lucas Valley-Marinwood CDP, Marin City CDP, Lake Don Pedro CDP, Mariposa CDP, Mendocino CDP, Merced City, University of California-Merced CDP, Lake City CDP, Crowley Lake CDP, June Lake CDP, Mammoth Lakes Town, Mono City CDP, Twin Lakes CDP, Virginia Lakes CDP, Marina City, Monterey City, Napa City, Lake of the Pines CDP, Lake Wildwood CDP, Nevada City, Lake Forest City, Orange City, Kings Beach CDP, Bucks Lake CDP, Lake Almanor Country Club CDP, Lake Almanor Peninsula CDP, Lake Almanor West CDP, Lake Davis CDP, Plumas Eureka CDP, Canyon Lake City, Lake Elsinore City, Lakeland Village CDP, Lake Mathews CDP, Lake Riverside CDP, Lakeview CDP, Riverside City, Orangevale CDP, Sacramento City, Big Bear Lake City, Lake Arrowhead CDP, San Bernardino City, Silver Lakes CDP, Spring Valley Lake CDP, Alpine CDP, Imperial Beach City, Lake San Marcos CDP, Rancho San Diego CDP, San Diego City, San Diego Country Estates CDP, San Francisco City, Lake Nacimiento CDP, San Luis Obispo City, Emerald Lake Hills CDP, San Mateo City, South San Francisco City, Santa Barbara City, University of California-Santa Barbara CDP, Santa Clara City, Santa Cruz City, Lakehead CDP, Shasta CDP, Shasta Lake City, Sierra Brooks CDP, Sierra City CDP, Sierraville CDP, Lake Shastina CDP, Mount Shasta City, Sonoma City, Sonoma State University CDP, Monterey Park Tract CDP, Orange Blossom CDP, Sutter CDP, Yuba City, Lake California CDP, Rancho Tehama Reserve CDP, Tehama City, Trinity Center CDP, Trinity Village CDP, East Tulare Villa CDP, Tulare City, Mono Vista CDP, Phoenix Lake CDP, Pine Mountain Lake CDP, Sierra Village CDP, Tuolumne City CDP, Lake Sherwood CDP, West Sacramento City, Yolo CDP, Plumas Lake CDP, California
About this file
Summary
This is a Small Business Declaration attachment for a Request for Proposal (RFP) issued by the Judicial Council of California. The document serves as a certification form for vendors responding to RFP-IT-2026-212-RB for a voice-to-text translation program solution. The declaration requires bidders to certify their small business status and provide relevant business information to support their qualification under any applicable small business set-asides or preferences that may be included in the solicitation.
The form establishes the framework for small business vendors to demonstrate eligibility for consideration as small enterprises in accordance with California contracting requirements and federal small business definitions. Completion and submission of this declaration is a prerequisite for vendors seeking to compete for or claim benefits related to small business classifications in the evaluation and award process for the voice translator solution implementation, configuration, deployment, and maintenance services across California courts.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| IT-2026-212-RB-Attach-A-Admin-Rules.docx | DOCX document | |
| IT-2026-212-RB-Attach-D-Gen-Cert.docx | DOCX document | |
| IT-2026-212-RB-Attach-N-Accessibility_Addendum.docx | DOCX document | |
| IT-2026-212-RB-Attach-F-Unruh-_-FEH-Certs.docx | DOCX document | |
| IT-2026-212-RB-Attach-L_-_Price_Sheet.xlsx | XLSX spreadsheet | |
| IT-2026-212-RB-Attach-M-_Requirements.xlsx | XLSX spreadsheet | |
| IT-2026-212-RB-Attach-K-DVBE-Declaration.docx | DOCX document | |
| IT-2026-212-RB-Attach-G-Iran-Act-Cert.docx | DOCX document | |
| IT-2026-212-RB-Attach-E-Darfur-Cert.docx | DOCX document | |
| IT-2026-212-RB-Attach-J-Bidder-Declaration.docx | DOCX document | |
| IT-2026-213-RB-Attach-H1-Payee-Data-Record.docx | DOCX document | |
| IT-2026-212-RB-Attach-C-Form_for_Submission_of_Qs.docx | DOCX document | |
| IT-2026-213-RB-RFP-NextGen_Voice_Translator.docx | DOCX document | |
| IT-2026-212-RB-Attach-B-Master-Agreement.docx | DOCX document |
Show all 14
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Text version
RFP NUMBER: IT-2026-212-RB
RFP TITLE: Next-Generation Voice Translator Solution and Managed Services
ATTACHMENT I
SMALL BUSINESS DECLARATION
Complete this form only if the Proposer will claim the small business preference associated with this solicitation. Please review the “Small Business Declaration Instructions” before completing this form. If the Proposer submits incomplete or inaccurate information, it will not receive the small business preference.
SECTION I. COMPLETE IF THE PROPOSER IS A SMALL BUSINESS
If the Proposer is not a Small Business, skip this section.
| 1. | DGS Supplier ID number: _______________ |
| 2. | Small Business Certification active from ___________ to ___________ |
| 3. | Will the Proposer subcontract any portion of the contract work to subcontractors? _____ |
| If yes: | |
| A. State the percentage of the contract work the Proposer will subcontract: _____ | |
| B. Describe the goods and/or services to be provided by the Proposer itself in connection with the contract: ______________________________________ | |
| ______________________________________________________________ | |
| ______________________________________________________________ | |
| ______________________________________________________________ | |
| ______________________________________________________________ | |
| C. Explain how the Proposer is performing a “commercially useful function” for purposes of this contract. (Please see the instructions for the definition of “commercially useful function.”) ___________________________________ | |
| ______________________________________________________________ | |
| ______________________________________________________________ | |
| ______________________________________________________________ | |
| ______________________________________________________________ | |
| ______________________________________________________________ | |
| 4. | The Proposer must submit a copy of its Small Business certification approval letter along with this declaration. |
SECTION II. COMPLETE IF THE PROPOSER IS A NON-PROFIT VETERAN SERVICE AGENCY (NVSA)
If Proposer is not an NVSA, skip this section.
| 1. | DGS Supplier ID number: _______________ |
| 2. | NVSA Certification active from ___________ to ___________ |
| 3. | The Proposer must submit a copy of its NVSA certification approval letter along with this declaration. |
SECTION III. CERTIFICATION
I, the official named below, certify under penalty of perjury that the information provided in this form is true and correct. I am duly authorized to legally bind the Proposer to this certification. This certification is made under the laws of the State of California.
| Company Name (Printed) |
| Tax ID Number |
| Address |
| Telephone Number |
By (Authorized Signature)
Printed Name and Title of Person Signing
| Date Executed |
| Executed in the County of _________ in the State of ____________ |
SMALL BUSINESS DECLARATION INSTRUCTIONS
General Instructions
In this form, (i) “DGS” refers to the Department of General Services, and (ii) “Small Business” refers to an entity certified by DGS as a small business or a microbusiness.
If the Proposer will claim the small business preference in a solicitation where a small business preference is offered, it must complete the Small Business Declaration. If no small business preference is offered, or the Proposer does not claim the small business preference, the Proposer should not complete the Small Business Declaration.
The JBE will determine whether the Proposer is eligible to receive the small business preference based on information provided in the Small Business Declaration. The JBE may, but is not obligated to, verify or seek clarification of any information set forth in the Small Business Declaration. If the Proposer submits incomplete or inaccurate information, it will not receive the small business preference.
Instructions for Section I
Skip this section if the Proposer is not itself a Small Business.
| 1. | Provide the Proposer’s DGS Supplier ID number. This number is in the Proposer’s DGS Supplier Profile, accessible at https://caleprocure.ca.gov/pages/PublicSearch/supplier-search.aspx |
| 2. | Provide the applicable dates. These dates are listed in the Proposer’s DGS Supplier Profile, accessible at https://caleprocure.ca.gov/pages/PublicSearch/supplier-search.aspx |
| 3. | If the Proposer will subcontract any portion of the contract work, answer “yes” and complete subparts A-C. If the Proposer will not subcontract any portion of the contract work, answer “no” and skip subparts A-C. |
| Subpart A: This percentage is equal to the amount to be paid by the Proposer to all subcontractors divided by the Proposer’s total proposal price, multiplied by 100. Enter a percentage; do not enter a dollar amount. For example, if the amount to be paid by the Proposer to subcontractors is $35,000 and the Proposer’s total proposal price is $125,000, enter “28%” (35000 ÷ 125000 = 0.28; 0.28 x 100 = 28). | |
| Subpart B: Provide a detailed description of the goods and/or services the Proposer itself will provide for the contract. In other words, provide a detailed description of the goods and/or services that will not be subcontracted. Attach additional sheets if necessary. | |
| Subpart C: Provide an explanation of how the Proposer’s goods and/or services constitute a “commercially useful function” for purposes of the contract. Pursuant to Government Code section 14837, a business is deemed to perform a “commercially useful function” if the business does all of the following: (i) is responsible for the execution of a distinct element of the work of the contract; (ii) carries out its obligation by actually performing, managing, or supervising the work involved; (iii) performs work that is normal for its business services and functions; (iv) is responsible, with respect to products, inventories, materials, and supplies required for the contract, for negotiating price, determining quality and quantity, ordering, installing, if applicable, and making payment; and (v) is not further subcontracting a portion of the work that is greater than that expected to be subcontracted by normal industry practices. Note: a business will not be considered to perform a “commercially useful function” if its role is limited to that of an extra participant in a transaction, contract, or project through which funds are passed in order to obtain the appearance of Small Business participation. Attach additional sheets if necessary. | |
| 4. | Each entity certified as a Small Business by DGS will have received a Small Business certification approval letter from DGS. The Proposer must submit a copy of its Small Business certification approval letter. |
Instructions for Section II
Skip this section if the Proposer is not an NVSA.
| 1. | Provide the Proposer’s DGS Supplier ID number. This number is in the Proposer’s DGS Supplier Profile, accessible at https://caleprocure.ca.gov/pages/PublicSearch/supplier-search.aspx |
| 2. | Provide the applicable dates. These dates are listed in the Proposer’s DGS Supplier Profile, accessible at https://caleprocure.ca.gov/pages/PublicSearch/supplier-search.aspx |
| 3. | Each entity certified as an NVSA by DGS will have received a certification approval letter. The Proposer must submit a copy of its certification approval letter. |
Instructions for Section III
Provide the Proposer’s full legal name, tax ID number, address, and telephone number in the appropriate boxes. The certification must be signed by an authorized Proposer representative in the box labeled “By (Authorized Signature).” Provide the name and title of the authorized Proposer representative, and the date, county, and state where that person signed the certification, in the appropriate boxes.
2 rev 4/30/2021
File details come from the government source that posted it. Updated .