P1570007,_IFB.pdf

State of California -The Natural Resources Agency EDMUND G. BROWN JR., Governor

DEPARTMENT OF FISH AND WILDLIFE CHARLTON H. BONHAM, Director 1416 9 th Street

Sacramento, CA 95814 https://www.wildlife.ca.gov/

Conserving California’s Wildlife Since 1870

INVITATION FOR BID

Notice to Prospective Bidders

January 26, 2016

You are invited to review and respond to this Invitation for Bid (IFB), entitled IFB P1570007, Histology Services. In submitting your bid, you must comply with these instructions.

Note that all agreements entered into with the State of California will include by reference General Terms and Conditions and Contractor Certification Clauses that may be viewed and downloaded at Internet site www.dgs.ca.gov/ols/Resources/StandardContractLanguage.aspx. If you do not have Internet access, a hard copy can be provided by contacting the person listed below.

In the opinion of the California Department of Fish and Wildlife this Invitation for Bid is complete and without need of explanation. However, if you have questions, or should you need any clarifying information, the contact person for this IFB is:

Elyse Robinson California Department of Fish and Wildlife

1831 9th Street Sacramento, CA. 95811 Phone: (916) 445-9618

Email: Elyse.Robinson@wildlife.ca.gov

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

Karen Edgren, Chief Procurement and Contracting Officer Business Management Branch http://www.dgs.ca.gov/ols/Resources/StandardContractLanguage.aspx mailto:Elyse.Robinson@wildlife.ca.gov

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TABLE OF CONTENTS

SECTION PAGE

A. Agreement Term

B. Contract Budget Amount

C. Purpose and Description of Services

D. Eligible Bidders

E. Loss Leader

F. Bidder Minimum Qualifications

G. Bid Requirements and Information

1. Key Action Dates

2. Submission of Bid

3. Evaluation and Selection

4. Basis of Award

5. Award and Protest

6. Disposition of Bid

7. Sample Standard Agreement

8. Agreement Execution and Performance

9. Extension of Terms*

H. Preference Programs

1. Small Business Program

2. Disabled Veteran Business Enterprise (DVBE) Incentive

I. Disabled Veteran Business Enterprise (DVBE) Program Participation

1. DVBE Program Participation Program Requirements

2. DVBE Resources and Information

J. Required Attachments

Attachment 1 - Required Attachment Check List Attachment 2 - Bid/Bidder Certification Sheet Attachment 3 - Payee Data Record (STD 204) Attachment 4 - Darfur Contracting Act Certification Attachment 5 - Bidder Declaration Attachment 6 - Contractor’s Certification Clauses (CCC) (page 1) Attachment 7 - Bid Cost Sheet ........................ Included as a separate document

Sample Standard Agreement (Std 213) ............................... Included as a separate document

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A. Agreement Term

The contract term will be upon signature and approval by California Department of Fish and Wildlife (CDFW) through June 30, 2016.

B. Contract Budget Amount

The contract awarded will be written for a maximum total agreement amount of $10,000.00.

The Contractor will be required to perform services at the rates identified on Attachment 7, Bid Cost Sheet. The number of units identified on Attachment 7 is an estimate only and not a guarantee of number of units to be provided and reimbursed for under the contract. The total Basis of Award Amount on Attachment 7 will be used for award purposes only to establish lowest cost.

C. Purpose and Description of Services

1. Purpose and Objectives

The Contractor shall perform a variety of histology services with different methods.

2. Scope of Work

For a detailed description of the work to be performed, see Exhibit A, Scope of Work, which is attached hereto within the sample standard agreement and made a part of this

IFB.

D. Eligible Bidders

Public or private corporations, agencies, organizations, associations, or individuals may submit a sealed bid in response to this IFB. The bidder must be legally constituted and qualified to do business within the State of California (registered with the Secretary of State). With the exception of bidders whose legal status precludes incorporation (i.e. public agencies, sole proprietorships, and partnerships), bidders that are not fully incorporated by the deadline for submitting sealed bids will be disqualified. The bidder must also not be listed on either list of the 500 largest tax delinquencies pursuant to Section 7063 or 19195 of the Revenue and Taxation Code.

E. Loss Leader

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. A "loss leader" is any article or product sold at less than cost: (a) Where the purpose is to induce, promote or encourage the purchase of other merchandise; or (b) Where the effect is a tendency or capacity to mislead or deceive purchasers or prospective purchasers; or (c) Where the effect is to divert trade from or otherwise injure competitors.

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F. Bidder Minimum Qualifications

The Contractor must have a minimum of five (5) years of experience dealing with marine finfish/marine life.

G. Bid Requirements and Information

1. Key Action Dates

EVENT DATE TIME

IFB available to prospective bidders January 26, 2016 Final Date for Bid Submission February 10, 2016 3:00 p.m.

Bid Opening February 10, 2016 Notice of Intent to Award February 18, 2016 Proposed Award Date February 18, 2016

2. Submission of Bid

a. All bids must be submitted under sealed cover and received by CDFW at the location indicated below on or before the date and time identified in Section G, Bid Requirements and Information, Item (1) Key Action Dates, (page 2). 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 P1570007

Histology Services California Department of Fish and Wildlife

1831 9th Street Sacramento, CA. 95811 ATTN: Elyse Robinson

DO NOT OPEN

Bids not submitted under sealed cover will be rejected and returned to the bidder, unopened.

Any bid received at the above address after the bid submission date and time specified in Section G(1) Key Action Dates will NOT be considered. It is the State's policy to make every effort to ensure that all bids have been received and properly time stamped; however, bidders are ultimately responsible for ensuring timely receipt of their bid. Bidders may verify receipt of their bid by contacting the person identified in the cover letter of this IFB prior to the Public Bid Opening.

A minimum of one (1) copy of the bid must be submitted.

b. All bids shall include the documents identified in Section I, Required Attachment

Checklist (Attachment 1). Bids not including the proper “required attachments" shall

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be deemed non-responsive. A non-responsive bid is one that does not meet the basic bid requirements.

c. All documents requiring a signature must bear an original signature of a person authorized to bind the bidding firm.

d. Mail or deliver bids to the following address:

1831 9th Street Sacramento, CA. 95811 ATTN: Elyse Robinson

e. Bids must be submitted for the performance of all the services described herein.

Any deviation from the work specifications will not be considered and will cause a bid to be rejected.

f. A bid may be rejected if it is conditional or incomplete, or if it contains any alterations of form or other irregularities of any kind. The State may reject any or all bids and may waive an immaterial deviation in a bid. The State's waiver of an immaterial deviation shall in no way modify the IFB document or excuse the bidder from full compliance with all requirements if awarded the agreement.

g. Costs incurred for developing bids and in anticipation of award of the agreement are entirely the responsibility of the bidder and shall not be charged to the State of California.

h. An individual who is authorized to bind the bidder contractually shall sign the

Bid/Bidder Certification Sheet, (Attachment 2). The signature should indicate the title or position that the individual holds in the firm. An unsigned bid will be rejected.

i. A bidder may modify a bid after its submission by withdrawing the 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.

j. A bidder may withdraw a bid by submitting a written withdrawal request to the State, signed by the bidder or an authorized agent. 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.

k. CDFW may modify the IFB prior to the date fixed for submission of bids by the issuance of an addendum to all parties who received a bid package.

l. CDFW reserves the right to reject all bids. CDFW is not required to award an agreement.

m. Before submitting a response to this solicitation, bidders should review, correct all errors and confirm compliance with the IFB requirements.

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n. Where applicable, bidder should carefully examine work sites and specifications.

Bidder shall investigate conditions, character, and quality of surface or subsurface materials or obstacles that might be encountered. No additions or increases to the agreement amount will be made due to a lack of careful examination of work sites and specifications.

o. The State does not accept alternate contract language from a prospective

Contractor. A bid with such language will be considered a counter proposal and will be rejected. The State’s General Terms and Conditions are not negotiable.

p. No oral understanding or agreement shall be binding on either party.

3. Evaluation and Selection

a. At the time of bid opening, each bid will be checked for the presence or absence of required information in conformance with the submission requirements of this IFB.

b. CDFW shall evaluate each bid to determine its responsiveness to the published requirements.

c. Bids that contain false or misleading statements, or which provide references, which do not support an attribute or condition claimed by the bidder, may be rejected.

4. Basis Of Award

The contract Award, if made will be to the lowest responsive responsible bidder. The contract shall be awarded on the basis of the responsive / responsible bidder submitting the lowest cost in Attachment 7, Bid Cost Sheet.

Bid responses must comply with all IFB requirements. Failure to do so will disqualify the bid. If it is determined not to be in the best interest of the State, the State reserves the right to not award a contract in response to this IFB.

The method that shall be used as a "tie-breaker" in the event of a two-way (or more) tie of the responsive/responsible lowest bid will be to place the names of the bidders in a container. The first name drawn will be the proposed awardee. The remaining bidder(s) name(s) will be drawn sequentially and noted in case, upon validation, the proposed awardee selected through the tie-breaking process is unacceptable.

Small business bidders, meeting the IFB specifications, shall have precedence over non-small business bidders in that the application of any bidder preference for which non-small business bidders may be eligible under any other provision of law shall not result in the denial of the award to a small business bidder.

In the event of a precise tie between the low responsible bid of bidder meeting the specifications of a small business, and the low responsible bid of a bidder meeting the specifications of a disabled veteran-owned small business, the contract shall be awarded to the veteran-owned small business.

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5. Award and Protest

a. Award

Whenever an Agreement is awarded under a procedure, which provides for competitive bidding, but the Agreement is not to be awarded to the low bidder, the low bidder shall be notified by telegram, electronic facsimile transmission, overnight courier, or personal delivery five (5) working days prior to the award of the Agreement.

Upon written request by any bidder, notice of the proposed award shall be posted in a public place in the office of the CDFW at least five (5) working days prior to awarding the Agreement.

b. Protest

In Accordance with Public Contract Code Section 10345, if any bidder, prior to the award of Agreement, files a written protest with the Department of General Services against the awarding of the contract on the grounds that it is the lowest responsible bidder meeting the specifications of the Invitation for Bid. The contract shall not be awarded until either the protest has been withdrawn or the Department of General Services has decided the matter. The protest shall be sent to:

Department of General Services California Department of Fish and Wildlife Office of Legal Services Contracts Management Section ATTN: Protest Coordinator ATTN: Amy Manasero, Manager 707 3rd Street, 7th Floor, Suite 7-330 P.O. Box 944209 West Sacramento, CA 95605 Sacramento, CA 94244-2090

FAX: (916) 376-5088 FAX: (916) 445-9620

Within five (5) days after filing the initial protest, the protesting bidder shall file with the Department of General Services and the California Department of Fish and Wildlife a detailed written statement specifying the grounds for the protest. Protests may be submitted by regular mail, facsimile, courier or personal delivery.

6. Disposition of Bid

a. Upon bid opening, all documents submitted in response to this IFB will become the property of the State of California, and will be available for public inspection under Public Contract Code 10342.

b. Bid packages may be returned only at the bidder's expense.

7. Sample Standard Agreement

This IFB includes, as a separate document, a Sample Standard Agreement (Sample Standard Agreement STD 213) for review. The Sample Standard Agreement contains language that the CDFW expects to utilize for this contract.

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8. Agreement Execution and Performance

a. Work shall start no later than ten (10) days, or on the express date set by the CDFW Contract Manager and the Contractor, after all approvals have been obtained and the agreement is fully executed. Should the Contractor fail to commence work at the agreed upon time, the CDFW, upon five (5) days written notice to the Contractor, reserves the right to terminate the Agreement. In addition, the Contractor shall be liable to the State for the difference between Contractor's bid price and the actual cost of performing work by the second lowest bidder or by another Contractor.

b. All performance under the Agreement shall be completed on or before the termination date of the Agreement.

9. Extension of Terms

This Agreement may be amended to extend the term if it is determined to be in the best interest of the State. Upon signing the amendment, Provider hereby agrees to provide services for the extended period at the rates specified in the original Agreement.

H. Preference Programs

1. Small Business Program

A Small Business Preference of five percent (5%) will be granted in accordance with Government Code Section 14835, and as contained in California Code of Regulations, title 2, Section 1896.8. To claim the Small Business Preference, which may not exceed $50,000 for any bid, your firm must have its principal place of business located in California and you must have an approved small business certification form and proof of annual receipts on file with the Department of General Services, Office of Small Business and Disabled Veteran Business Services (OSDS). Questions and requests for copies of the regulations should be directed to OSDS at (916) 375-4940.

Bidders requesting the Small Business Preference must complete the certification on the attached Bid/Bidder Certification Sheet (Attachment 2, Item 14) and include a copy of the certification. The Small Business Preference and Certification Request must be signed in the same style in which the bidder is licensed by the Contractor’s State License Board.

The application of the five percent (5%) Small Business bidding preference is now extended to non-small businesses that commit to subcontracting at least twenty-five percent (25%) of its net bid price to California Certified Small Businesses and/or Micro-businesses when the non-small business:

Has included in its bid a notification to the CDFW that it commits to subcontract at least twenty-five percent (25%) of its net bid price with one (1) or more small businesses; and

Has submitted a timely, responsive bid; and Is determined to be a responsible bidder; and Submits a Bidder Declaration GSPD-05-105 listing the small businesses it commits to subcontract with for a commercially useful function in the performance of the

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Agreement. The GSPD-05-105 can be accessed at:

http://www.documents.dgs.ca.gov/pd/delegations/GSPD105.pdf.

The CDFW will grant small businesses a five percent (5%) Small Business preference on a bid evaluation when a responsible non-small business has submitted the lowest-priced, responsive bid pursuant to the evaluation of a solicitation method when a small business:

Includes in its bid a notification to the CDFW that it is a small business or that it has submitted to the Department of General Services, Office of Small and Disabled Veteran Business Services (OSDS) a complete application no later than 5:00 p.m.

on the bid due date, and is subsequently certified by the Department of General Services as a small business; and

Submits a timely, responsive bid; and Has been determined to be a responsible bidder.

Bidders having pending Small Business or DVBE Certification applications under review by the Department of General Services concurrent with the bid time frame should contact OSDS to request an expedite review/approval of their application in order to be considered for the small business preference during the evaluation of this bid. Contact OSDS at (916) 375-4940 to obtain information about the application expedite process.

Bidders must notify the CDFW, in writing, at the time of bid submission that they have an application for Small Business or DVBE Certification under review at the OSDS, and that they wish to be considered for the Small Business Preference Calculation.

2. Disabled Veteran Business Enterprise (DVBE) Incentive Program

DVBE INCENTIVE OPTION WITH 3% DVBE PROGRAM REQUIREMENT

In accordance with section 999.5(a) of the Military and Veterans Code, and DVBE Incentive Regulations, CCR 1896.99.100, an incentive will be given to bidders who provide DVBE participation. For evaluation purposes only, the State shall apply an incentive to bids that propose California certified DVBE participation as identified on the Bidder Declaration GSPD-05-105, confirmed by the State. The GSPD-05-105 can be accessed at: http://www.documents.dgs.ca.gov/pd/delegations/GSPD105.pdf The incentive amount for awards based on low price will vary in conjunction with the percentage of DVBE participation. The following percentages will apply for awards based on low price.

Confirmed DVBE Participation of:

DVBE

Incentive

5% or Over 5%

4% to 4.99% inclusive 4%

3% to 3.99% inclusive 3%

For awards based on low price, the net bid price of responsive bids will be reduced (for evaluation purposes only) by the amount of DVBE incentive as applied to the lowest responsive net bid price. If the #1 ranked responsive, responsible bid is a California certified small business, the only bidders eligible for the incentive will be California certified small businesses. The incentive adjustment for awards based on low price http://www.documents.dgs.ca.gov/pd/delegations/GSPD105.pdf

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cannot exceed 5% or $100,000, whichever is less, of the #1 ranked net bid price. When used in combination with a preference adjustment, the cumulative adjustment amount cannot exceed $100,000.

I. Disabled Veteran Business Enterprise (DVBE) Program Participation

1. The DVBE Participation Program Requirements have been waived for this IFB

2. DVBE Resources and Information

For questions regarding bid documentation requirements, contact the contracting official at the awarding department for this solicitation. For a directory of SB/DVBE Advocates for each department go to:

http://www.pd.dgs.ca.gov/smbus/advocate.htm.

The Department of General Services, Procurement Division (DGS-PD) publishes a list of trade and focus publications to assist bidders in locating DVBEs for a fee. To obtain this list, please go to www.pd.dgs.ca.gov/smbus and select:

• DVBE Trade Paper Listing (pdf)

• DVBE Focus Paper Listing (pdf)

U.S. Small Business Administration (SBA):

Use the Central Contractor Registration (CCR) on-line database.

Internet contact only –Database: www.ccr.gov/.

FOR:

Service-Disabled Veteran-owned businesses in California (Remember to verify each DVBE’s California certification.)

Local Organizations: Go to www.pd.dgs.ca.gov/smbus and select:

DVBE Local Contacts (pdf)

FOR:

List of potential DVBE subcontractors

DGS-PD EProcurement Website: www.eprocure.dgs.ca.gov Phone: (916)375-2000 Email: eprocure@dgs.ca.gov

FOR:

• SB/DVBE Search

• CSCR Ads

• Click on Training tab to Access eProcurement Training Modules including:

Small Business (SB)/DVBE Search

DGS-PD Office of Small Business and DVBE Services (OSDS) 707 Third Street, Room 1-400, West Sacramento, CA 95605 Website: www.pd.dgs.ca.gov/smbus OSDS Receptionist, 8 am-5 pm: (916) 375-4940 PD Receptionist, 8 am-5 pm: (800) 559-5529 Fax: (916) 375-4950 Email: osdchelp@dgs.ca.gov

FOR:

• Directory of California-Certified

DVBEs

• Certification Applications

• Certification Information

• Certification Status, Concerns

• General DVBE Program Info.

• DVBE Business Utilization Plan

• Small Business/DVBE Advocates

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Commercially Useful Function Definition California Code of Regulations, Title 2, § 1896.61(l):

The term "DVBE Contractor, subcontractor or supplier" means any person or entity that satisfies the ownership (or management) and control requirements of §1896.61(f); is certified in accordance with §1896.70; and provides services or goods that contribute to the fulfillment of the contract requirements by performing a commercially useful function.

As defined in MVC §999, a person or an entity is deemed to perform a "commercially useful function" if a person or entity does all of the following:

Is responsible for the execution of a distinct element of the work of the contract.

Carries out the obligation by actually performing, managing, or supervising the work involved.

Performs work that is normal for its business services and functions.

Is not further subcontracting a portion of the work that is greater than that expected to be subcontracted by normal industry practices.

A Contractor, subcontractor, or supplier will not be considered to perform a commercially useful function if the Contractor's, subcontractor's, or supplier's 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 disabled veteran business enterprise participation.

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J. Required Attachments

ATTACHMENT 1

REQUIRED ATTACHMENT CHECK LIST

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

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

Attachment Attachment Name/Description

Attachment 1 Required Attachment Check List

Attachment 2 Bid/Bidder Certification Sheet (Signed) Bid/Bidder Certification Sheet Instructions

Attachment 3 Payee Data Record (STD 204) (Signed)

Attachment 4 Darfur Contracting Act Certification

Attachment 5 Bidder Declaration (if applicable)

Attachment 6 Contractor’s Certification Clauses (CCC 307)

Attachment 7 Bid Cost Sheet (Included as a separate document)

Copy of California Business License or articles of incorporation (per “Eligible Bidders” Section)

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ATTACHMENT 2

BID/BIDDER CERTIFICATION SHEET

This Bid/Bidder Certification Sheet must be signed and returned along with all the "required attachments" as a bid package as directed in Submission of Bid (Section G, 2, a) with original signatures. The bid documents must be transmitted in a sealed envelope in accordance with IFB instructions.

A. Our all-inclusive bid is submitted as detailed in Attachment 7, Cost Sheet.

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

C. I have read and understand the DVBE participation requirements and have included documentation demonstrating that I have met the participation goals.

D. The signature affixed hereon and dated 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. Telephone Number 2a. 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)

8. California Corporation No.

9. Indicate applicable license and/or certification information:

10. Bidder’s Name (Print) 11. Title

12. Signature 13. Date

14. Are you certified with the Department of General Services, Office of Small Business and DVBE Services (OSDS) as:

a. California Small Business Yes No If yes, enter certification number:

b. Disabled Veteran Business Enterprise Yes No If yes, enter certification number:

c. Non-Small Business Subcontractor Preference Yes No

NOTE: A copy of your Certification is required and MUST be included if either of the above items are checked “Yes”.

Date application submitted to OSDS (if application is pending):

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ATTACHMENT 2

BID/BIDDER CERTIFICATION SHEET INSTRUCTIONS

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

Item Numbers

Instructions

1, 2, 2a, 3

Must be completed. Items are self-explanatory.

Check if your firm is a sole proprietorship. A sole proprietorship is a form of business in which one (1) 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 (2) 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 (2) 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/her successors, being the incumbents of a particular office, but ordinarily consisting of an association of numerous individuals.

Enter your Federal Employee Tax Identification Number.

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 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.

10, 11, 12, 13

Must be completed. These items are self-explanatory.

If certified as a California Small Business, place a check in the "Yes" box, and enter your certification number on the line.

If certified as a Disabled Veterans Business Enterprise, place a check in the "Yes" box and enter certification number on the line.

If you are not certified to one (1) or both, place a check in the "No" box. If your certification is pending, enter the date your application was submitted to OSDS.

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ATTACHMENT 3

PAYEE DATA RECORD (STD 204)

This form must be obtained from the Office of State Publishing website stated below. The form should be downloaded and completed, signed and returned with your bid package.

http://www.dgs.ca.gov/dgs/ProgramsServices/Forms/FMC/Search.aspx

Enter 204 in the box “Enter a Form No.:”

or use this link to go directly to the form:

http://www.documents.dgs.ca.gov/dgs/fmc/pdf/std204.pdf

If you do not have Internet capabilities, please contact the IFB Contact Person named on the first page of this document, or Contract Management Section, to obtain a form:

Contract Management Section

(916) 445-9612 http://www.dgs.ca.gov/dgs/ProgramsServices/Forms/FMC/Search.aspx http://www.documents.dgs.ca.gov/dgs/fmc/pdf/std204.pdf

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ATTACHMENT 4

DARFUR CONTRACTING ACT CERTIFICATION

Public Contract Code Sections 10475 -10481 applies to any company that currently or within the previous three years has had business activities or other operations outside of the United States.

For such a company to bid on or submit a proposal for a State of California contract, the company must certify that it is either a) not a scrutinized company; or b) a scrutinized company that has been granted permission by the Department of General Services to submit a proposal.

If your company has not, within the previous three years, had any business activities or other operations outside of the United States, you do not need to complete this form.

OPTION #1 - 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 a) the prospective proposer/bidder named below is not a scrutinized company per Public Contract Code 10476; and b) 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 #2 – 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

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ATTACHMENT 5

Bidder Declaration

(GSPD-05-105)

Download, print and attach form(s):

Bidder Declaration GSPD-05-105 -complete when any subcontracting is to be used in the contract.

Micro Business / Small Business Program

The application of the five percent (5%) Small Business bidding preference is now extended to non-small businesses that commit to subcontracting at least twenty-five percent (25%) of its net bid price to California Certified Small Businesses and/or Micro-businesses when the non-small business:

1. Has included in its bid a notification to the Department that it commits to subcontract at least twenty-five percent (25%) of its net bid price with one (1) or more small businesses; and

2. Has submitted a timely, responsive bid; and

3. Is determined to be a responsible bidder; and

4. Submits a Bidder Declaration GSPD-05-105 listing the small and or micro businesses it commits to subcontract with for a commercially useful function in the performance of the Agreement.

DVBE Participation Program

1. Submits a Bidder Declaration GSPD-05-105 listing the DVBE it commits to subcontract with for a commercially useful function in the performance of the Agreement. and

2. Submits a completed Disabled Veteran Business Enterprise Declarations (STD 843) -http://www.documents.dgs.ca.gov/pd/poliproc/STD-843FillPrintFields.pdf

STD.843

Purpose The State must obtain declarations from certified Disabled Veteran Business

Enterprises (DVBEs) pursuant to Military and Veterans Code Sections 999.2(b) through 999.9. The purpose is to eliminate the benefits of DVBE status from those contractors who are using their certified status and obtaining State funds, but working only as brokers or agents. Therefore, in order to enable the State to verify that a DVBE is not an equipment broker, the DVBE’s Federal Tax Information Number must be reported on the STD 843.

When to The DVBE declarations form is completed when a California certified DVBE supplier is

Complete submitting a response to a competitive solicitation and/or request for offer or in the case of

This form rental equipment, is a supplier who is obtaining the participation of California certified DVBE subcontractors.

Signatures All disabled veteran owners and disabled veteran managers of the DVBE must complete the form prior to award of the contract.

All original signatures of the STD. 843 for DVBE(s) associated with the awarded contract are to be kept in the contract file.

http://www.documents.dgs.ca.gov/pd/poliproc/STD-843FillPrintFields.pdf

CDFW IFB (08/03/2015) 17

ATTACHMENT 6

CONTRACTOR CERTIFICATION CLAUSE (CCC 307)

Download, print, sign first page and attach form to your bid.

http://www.ols.dgs.ca.gov/Standard+Language/default.htm

Open Standard Contract Language, blue bar bottom middle of page and select CCC 307 http://www.ols.dgs.ca.gov/Standard+Language/default.htm