P1599057_-_Bidding_Documents.pdf
PDF 222 KB Posted
- Attached to
- P1599057 - Water Efficient Fixture Replacement
- Solicitation number
- 0000001533
- Issued by
- Fresno County, California
About this file
This file contains the required bidding documents and attachments for Invitation for Bid No. P1599057 issued by the California Department of Fish and Wildlife for water efficient fixture replacement at Mendota Wildlife Area in Fresno County, California. The project involves removing, disposing and replacing various plumbing fixtures including water closets, water closet actuators, faucet fixtures, shower heads, and urinal actuators. The bid package requires completion of 14 mandatory attachments including certifications, declarations, bonds, and forms related to DVBE participation, prevailing wage requirements, and contractor qualifications.
The pricing structure includes rates for inspection, billable labor rates per fixture type, and mark-up percentages for supplied materials and subcontractor work (both limited to 20% maximum). The bid requires a minimum 3% Disabled Veteran Business Enterprise (DVBE) participation requirement which is mandatory by state law. Contractors must be registered with the Department of Industrial Relations (DIR) and Contractors State License Board (CSLB). A 10% bid bond is required with submission. The bid evaluation formula considers inspection rate, labor rates for various fixtures multiplied by specified quantities, and material costs with markup applied to $14,000 base amount.
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Section H
Attachments; Required Bid Documents For Bidding Purposes
INVITATION FOR BID NO. P1599057
WATER EFFICIENT FIXTURE REPLACEMENT
AT
MENDOTA WILDLIFE AREA
FRESNO COUNTY, CALIFORNIA
04/15
ATTACHMENT 1
REQUIRED ATTACHMENT CHECK LIST
A complete bid or bid package will consist 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 completed and returned. This checklist shall be returned with your bid package also.
Attachment Attachment Name/Description Page #
Attachment 1 Required Attachment Check List ……………………………………...1
Attachment 2 Bid/Bidder Certification Sheet (Signed) Instructions**
Attachment 3 Bid Form (Cost Sheet)
Attachment 4 List of Proposed Subcontractors
Attachment 5 Bidder’s Prevailing Wage Requirement
Attachment 6 Payee Data Record (STD 204) (Signed)
Attachment 7 Non-Collusion Affidavit (Signed & Notarized)
Attachment 8 Darfur Contracting Act (Signed) ................................................ 9-10
Attachment 9 California Public Contract Code Section10162 (Signed)
Attachment 10 Contractor Certification Clauses (CCC-307) (Signed) ............. 12-15
Attachment 11 Surface Mining & Reclamation Act Certification Form (Signed)
Attachment 12 Disabled Veteran Business Enterprise Declarations Use (STD 843) Form (Signed) ……
Attachment 13 Bidder Declaration Form GSPD-05-105 The Bidder Declaration Form (GSPD-05-105) must be completed by the Prime Contractor. This form is used to document all DVBE Sub-contractors, vendors, and suppliers that are performing part of the work. DVBE must be listed on the GSPD-05-105.
Attachment 14 Bidder’s Bond (Signed and Notarized) …………………………….19
** Instruction and Information Sheets do not need to be returned with sealed bid, only attached forms as required.
ATTACHMENT 2
BID/BIDDER CERTIFICATION SHEET
This Bid/Bidder Certification Sheet must be signed and returned along with all the "required attachments" as an entire package with original signatures. The bid must be transmitted in a sealed envelope in accordance with IFB instructions.
Please return only required attachments (Section H) when submitting bid.
A. Our all-inclusive bid is submitted as detailed in Attachment 3, BID FORM (Cost Sheet).
B. All required attachments are included with this certification sheet.
C. 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
3a. Address 3b. E-mail address:
Indicate your organization type:
4. Individual Or Sole Proprietor Social Security Number
5. Partnership Federal Employer Identification Number (FEIN)
6. Corporation Federal Employer Identification Number (FEIN) California Corporation Number:
7a. Indicate applicable license classification(s):
7b. CSLB License Number: 7c. DIR Number:
8. Bidder’s Name (Print) 9. Title
10. Signature (Required) 11. Date
12 DGS, Office of Small Business : OSDS Reference #: _________________
Indicate if Small Business or Micro Business:
Small Business Micro Business
NOTE: A copy of your certification is required.
Date application was submitted to OSDS, if an application is pending:
13. Mandatory DVBE Participation (minimum 3%) Requirements documented on Bidder Declaration Form GSDP-05-105:
Actual DVBE Participation:
_________% Dollar Amount: $ ____________
Document Verified By CDFW:
Engineer:
ATTACHMENT 2
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, 2, 2a, 3
Must be completed. These 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.
Enter Social Security Number.
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.
Enter Federal Employer Identification Number (FEIN).
Check if your firm is a corporation. A corporation is an artificial person or legal entity created by or under the authority of the laws of a state or nation, composed, in some rare instances, of a single person and his successors, being the incumbents of a particular office, but ordinarily consisting of an association of numerous individuals.
Enter Federal Employer Identification Number (FEIN) & California Corporation Number.
Complete by indicating the type of license classification that is required for the type of construction, CSLB License Number, and DIR Number that your firm possesses. (Mandatory)
8, 9, 10, 11
Must be completed. These items are self-explanatory.
Enter your certification number on the line. Place check mark if you are Small Business or Micro Business. If your certification is pending, enter the date your application was submitted to OSDS.
13 Enter the actual DVBE Participation Percentage and $ Amount shown on GSPD-05-105 (Attachment 13)
ATTACHMENT 3 – BID FORM (Cost Sheet)
Having become completely familiar with all conditions affecting the cost of the work at the place where the work is to be done and with these specifications, the Standard Specifications, and other contract documents prepared and issued therefore, the Contractor hereby proposes and agrees to perform and to provide and furnish all labor, tools, equipment, materials, permits, and taxes necessary to remove, dispose and replace plumbing fixtures at Mendota Wildlife Area, Fresno County, California.
Indicate your rates in the blanks provided. Contract will be awarded based on lowest responsive bidder. Low bidder will be determined by use of the formula indicated below.
Inspection Rate Lump Sum $
Billable Labor Rate Per Water Closet $
Billable Labor Rate Per Water Closet Actuator $
Billable Labor Rate Per Faucet Fixture $
Billable Labor Rate Per Shower Head $
Billable Labor Rate Per Urinal Actuator $
% Mark-Up on Supplied Materials (not to exceed 20%) %
% Mark-Up on Sub-Contractor Work (If Required)
(not to exceed 20%)
Contingencies As Determined by Engineer N/A
EVALUATION FORMULA - FOR STATE USE ONLY (DO NOT COMPLETE)
1. 1 Inspection Rate $
2. 13 x Billable Labor Rate Per Water Closet $
3. 0 x Billable Labor Rate Per Water Closet Actuator $
4. 18 x Billable Labor Rate Per Faucet Fixture $
5. 10 x Billable Labor Rate Per Shower Head $
6. 1 x Billable Labor Rate Per Urinal Actuator $
7. $14,000 plus % Mark-up for Supplied Materials $
Evaluated Bid Total (Sum of 1 through 7) $
In the case of a tie bid, the determination of a successful bidder will be made by a coin toss in the presence of all interested bidders, at a time and date set by the “State." The award, if there is an award, will be made on the basis of the Evaluated Bid Total indicated above.
ADDENDUM ACKNOWLEDGMENTS
Addendum # Date Received By
1.
ATTACHMENT 4
LIST OF PROPOSED SUBCONTRACTORS
List below the name and business address of each subcontractor who will perform work or labor or render service in an amount in excess of one-half of one percent of the General Contractor's total bid, and the portion of work to be done by each subcontractor. (See Public Contract Code sections 4100-4114, inclusive.) Material Vendors are not required.
NOTE: In case more than one subcontractor is named for the same category of work, state the portion that each will perform. Include additional sheets if required.
SUBCONTRACTOR NAME
PORTION/DESCRIPTION OF WORK
ADDRESS
CITY STATE ZIP CODE
CSLB LICENSE
NUMBER
DIR NUMBER SMALL BUSINESS
CLASS EXPIRATION DATE DOLLAR AMOUNT
PERCENTAGE OF TOTAL BID PRICE
CLASSIFICATION EXPIRATION DATE DOLLAR AMOUNT
CLASSIFICATION EXPIRATION DATE DOLLAR AMOUNT
Subcontractor(s) must be registered with Department of Industrial Relations (DIR) and with Contractors State License Board (CSLB).
VERIFICATION OF CERTIFICATION NUMBERS:
CSLB LICENSE, DIR AND SMALL BUSINESS
VERIFIED BY; CDFW ENGINEER:
ATTACHMENT 5
Invitation for Bid P1599057
BIDDER’S ACKNOWLEDGEMENT OF PREVAILING WAGE REQUIREMENTS
__________________________ acknowledges that State General Prevailing Wage Rates will Print Name of Company apply for the County of Fresno, California. If awarded this Agreement, I, ______________________ acknowledge it will be my responsibility to ensure the payment Authorize Representative (Print Name) of appropriate prevailing wages rates to all employees who participate on this Agreement throughout the duration of this Agreement.
Authorize Bidder’s Signature
ATTACHMENT 6
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.
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 following person to obtain a form:
Engineering California Department of Fish and Wildlife
(916) 323-1587 http://www.documents.dgs.ca.gov/dgs/fmc/pdf/std204.pdf
ATTACHMENT 7
NON-COLLUSION AFFIDAVIT TO BE EXECUTED BY
BIDDER AND SUBMITTED WITH BID FOR PUBLIC WORKS
STATE OF CALIFORNIA )
)ss
COUNTY OF )
, being first duly sworn deposes and
(NAME)
says that he or she is of
(POSITION TITLE)
(THE BIDDER)
the party making the foregoing bid that the bid is not made in the interest of, or behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto or paid, and will not pay, any fee to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid.
SIGN HERE By:
(PERSON SIGNING FOR BIDDER)
Dated:
Subscribed and sworn to before me on
(NOTARY PUBLIC)
(NOTARIAL SEAL)
ATTACHMENT 8
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
ATTACHMENT 8 (Cont.)
Please check the box below, fill out information and return this page if the Darfur Contract Act does not apply to you.
This certifies that the Darfur Contract Act does not apply to my company.
Signature
Print Name
ATTACHMENT 9
State of California California Natural Resources Agency
California Department of Fish and Wildlife
CALIFORNIA PUBLIC CONTRACT CODE SECTION 10162
-- Questionnaire –
FACILITY NAME PROJECT NAME
NAME OF BUSINESS
In accordance with Section 10162 of the California Public Contract Code, bidders shall complete, under penalty of perjury, the question below. Please answer the following:
HAVE YOU, ANY OFFICER OF YOUR BUSINESS, OR ANY EMPLOYEE OF YOUR
BUSINESS WHO HAS PROPRIETRY INTEREST IN YOUR BUSINESS EVER BEEN
DISQUALIFIED, REMOVED, OR OTHERWISE PREVENTED FROM BIDDING ON, OR
COMPLETING A FEDERAL, STATE, OR LOCAL GOVERNMENT PROJECT BECAUSE
OF A VIOLATION OF LAW OR VIOLATION OF SAFETY REGULATIONS? Yes
(Explain circumstances below. Attach additional pages if needed.) No
NOTICE TO BIDDERS
Bidders are cautioned that making false certification may subject the certifier to criminal prosecution.
The California Department of Fish and Wildlife (CDFW) reserves the right under California Public Contract Code Section 10162 to reject any bidder, any officer of such bidder, or any employee of such bidder who has a proprietary interest in such bidder who has been disqualified, removed or otherwise prevented from bidding on, or completing a federal, state or local government project because of a violation of law or violation of safety regulations.
Failure to return this form with the bid shall not be cause for rejection; however, bidders must furnish the completed form within the time frame prescribed by the CDFW. Failure to submit this form within the time frame prescribed by the CDFW may be deemed refusal of an award which shall be cause for forfeiture of bidder's security.
CERTIFICATION
By my signature, I certify under penalty of perjury under the laws of the State of California that the foregoing questionnaire and statements pursuant to California Public Contract Code Section 10162 are true and correct
BIDDER SIGNATURE
PRINTED NAME
DATE
ATTACHMENT 10
CCC-307
CERTIFICATION
I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that I am duly authorized to legally bind the prospective Contractor to the clause(s) listed below. This certification is made under the laws of the State of California.
Contractor/Bidder Firm Name (Printed)
Federal ID Number
By (Authorized Signature)
Printed Name and Title of Person Signing
Date Executed Executed in the County of
CONTRACTOR CERTIFICATION CLAUSES
1. STATEMENT OF COMPLIANCE: Contractor has, unless exempted, complied with the nondiscrimination program requirements. (GC 12990 (a-f) and CCR, Title 2, Section 8103) (Not applicable to public entities.)
2. DRUG-FREE WORKPLACE REQUIREMENTS: Contractor will comply with the requirements of the Drug-Free Workplace Act of 1990 and will provide a drug-free workplace by taking the following actions:
a. Publish a statement notifying employees that unlawful manufacture, distribution, dispensation, possession or use of a controlled substance is prohibited and specifying actions to be taken against employees for violations.
b. Establish a Drug-Free Awareness Program to inform employees about:
1) The dangers of drug abuse in the workplace;
2) The person's or organization's policy of maintaining a drug-free workplace;
3) Any available counseling, rehabilitation and employee assistance programs; and,
4) Penalties that may be imposed upon employees for drug abuse violations.
c. Every employee who works on the proposed Agreement will:
1) Receive a copy of the company's drug-free workplace policy statement; and, ATTACHMENT 10 (Cont.)
2) Agree to abide by the terms of the company's statement as a condition of employment on the Agreement.
d. Failure to comply with these requirements may result in suspension of payments under the Agreement or termination of the Agreement or both and Contractor may be ineligible for award of any future State agreements if the department determines that any of the following has occurred: (1) the Contractor has made false certification, or violated the certification by failing to carry out the requirements as noted above. (GC 8350 et seq.)
3. NATIONAL LABOR RELATIONS BOARD CERTIFICATION: Contractor certifies that no more than one (1) final unappealable finding of contempt of court by a Federal court has been issued against Contractor within the immediately preceding two-year period because of Contractor's failure to comply with an order of a Federal court, which orders Contractor to comply with an order of the National Labor Relations Board. (PCC 10296) (Not applicable to public entities.)
4. CONTRACTS FOR LEGAL SERVICES $50,000 OR MORE- PRO BONO REQUIREMENT:
Contractor hereby certifies that contractor will comply with the requirements of Section 6072 of the Business and Professions Code, effective January 1, 2003.
Contractor agrees to make a good faith effort to provide a minimum number of hours of pro bono legal services during each year of the contract equal to the lessor of 30 multiplied by the number of full time attorneys in the firm’s offices in the State, with the number of hours prorated on an actual day basis for any contract period of less than a full year or 10% of its contract with the State.
Failure to make a good faith effort may be cause for non-renewal of a state contract for legal services, and may be taken into account when determining the award of future contracts with the State for legal services.
5. EXPATRIATE CORPORATIONS: Contractor hereby declares that it is not an expatriate corporation or subsidiary of an expatriate corporation within the meaning of Public Contract Code Section 10286 and 10286.1, and is eligible to contract with the State of California.
6. SWEATFREE CODE OF CONDUCT:
a. All Contractors contracting for the procurement or laundering of apparel, garments or corresponding accessories, or the procurement of equipment, materials, or supplies, other than procurement related to a public works contract, declare under penalty of perjury that no apparel, garments or corresponding accessories, equipment, materials, or supplies furnished to the state pursuant to the contract have been laundered or produced in whole or in part by sweatshop labor, forced labor, convict labor, indentured labor under penal sanction, abusive forms of child labor or exploitation of children in sweatshop labor, or with the benefit of sweatshop labor, forced labor, convict labor, indentured labor under penal sanction, abusive forms of child labor or exploitation of children in sweatshop labor. The contractor further declares under penalty of perjury that they adhere to the Sweatfree Code of Conduct as set forth on the California Department of Industrial Relations website located at www.dir.ca.gov, and Public Contract Code Section 6108.
http://www.dir.ca.gov/
ATTACHMENT 10 (Cont.)
b. The contractor agrees to cooperate fully in providing reasonable access to the contractor’s records, documents, agents or employees, or premises if reasonably required by authorized officials of the contracting agency, the Department of Industrial Relations, or the Department of Justice to determine the contractor’s compliance with the requirements under paragraph (a).
7. DOMESTIC PARTNERS: For contracts over $100,000 executed or amended after January 1, 2007, the contractor certifies that contractor is in compliance with Public Contract Code section 10295.3.
DOING BUSINESS WITH THE STATE OF CALIFORNIA
The following laws apply to persons or entities doing business with the State of California.
1. CONFLICT OF INTEREST: Contractor needs to be aware of the following provisions regarding current or former state employees. If Contractor has any questions on the status of any person rendering services or involved with the Agreement, the awarding agency must be contacted immediately for clarification.
Current State Employees (PCC 10410):
1). No officer or employee shall engage in any employment, activity or enterprise from which the officer or employee receives compensation or has a financial interest and which is sponsored or funded by any state agency, unless the employment, activity or enterprise is required as a condition of regular state employment.
2). No officer or employee shall contract on his or her own behalf as an independent contractor with any state agency to provide goods or services.
Former State Employees (PCC 10411):
1). For the two-year period from the date he or she left state employment, no former state officer or employee may enter into a contract in which he or she engaged in any of the negotiations, transactions, planning, arrangements or any part of the decision-making process relevant to the contract while employed in any capacity by any state agency.
2). For the twelve-month period from the date he or she left state employment, no former state officer or employee may enter into a contract with any state agency if he or she was employed by that state agency in a policy-making position in the same general subject area as the proposed contract within the 12-month period prior to his or her leaving state service.
If Contractor violates any provisions of above paragraphs, such action by Contractor shall render this Agreement void. (PCC 10420)
Members of boards and commissions are exempt from this section if they do not receive payment other than payment of each meeting of the board or commission, payment for preparatory time and payment for per diem. (PCC 10430 (e))
ATTACHMENT 10 (Cont.)
2. LABOR CODE/WORKERS' COMPENSATION: Contractor needs to be aware of the provisions which require every employer to be insured against liability for Worker's Compensation or to undertake self-insurance in accordance with the provisions, and Contractor affirms to comply with such provisions before commencing the performance of the work of this Agreement. (Labor Code Section 3700)
3. AMERICANS WITH DISABILITIES ACT: Contractor assures the State that it complies with the Americans with Disabilities Act (ADA) of 1990, which prohibits discrimination on the basis of disability, as well as all applicable regulations and guidelines issued pursuant to the ADA. (42 U.S.C. 12101 et seq.)
4. CONTRACTOR NAME CHANGE: An amendment is required to change the Contractor's name as listed on this Agreement. Upon receipt of legal documentation of the name change the State will process the amendment. Payment of invoices presented with a new name cannot be paid prior to approval of said amendment.
5. CORPORATE QUALIFICATIONS TO DO BUSINESS IN CALIFORNIA:
a. When agreements are to be performed in the state by corporations, the contracting agencies will be verifying that the contractor is currently qualified to do business in California in order to ensure that all obligations due to the state are fulfilled.
b. "Doing business" is defined in R&TC Section 23101 as actively engaging in any transaction for the purpose of financial or pecuniary gain or profit. Although there are some statutory exceptions to taxation, rarely will a corporate contractor performing within the state not be subject to the franchise tax.
c. Both domestic and foreign corporations (those incorporated outside of California) must be in good standing in order to be qualified to do business in California. Agencies will determine whether a corporation is in good standing by calling the Office of the Secretary of State.
6. RESOLUTION: A county, city, district, or other local public body must provide the State with a copy of a resolution, order, motion, or ordinance of the local governing body which by law has authority to enter into an agreement, authorizing execution of the agreement.
7. AIR OR WATER POLLUTION VIOLATION: Under the State laws, the Contractor shall not be:
(1) in violation of any order or resolution not subject to review promulgated by the State Air Resources Board or an air pollution control district; (2) subject to cease and desist order not subject to review issued pursuant to Section 13301 of the Water Code for violation of waste discharge requirements or discharge prohibitions; or (3) finally determined to be in violation of provisions of federal law relating to air or water pollution.
8. PAYEE DATA RECORD FORM STD. 204: This form must be completed by all contractors that are not another state agency or other government entity.
ATTACHMENT 11
SURFACE MINING AND RECLAMATION ACT (SMARA)
CERTIFICATION FORM
Vendor/Supplier Name: _______________________________________
Street Address: _______________________________________
City, State, Zip Code: _______________________________________
The material that we (vendor/supplier) propose to supply your job is being furnished to us by:
Mine Name Mine ID# Operated by County
The vendor/supplier meets the requirements of Public Resources Code Section 2710 et. seg. and Public Contract Code Section 10295.5 as set forth by the Surface Mining and Reclamation Act (AB 3098) and is listed by the California Department of Conservation.
Please choose box below:
This certifies that the SMARA does This certifies that the SMARA does not apply to this project. apply to this project.
Authorized Bidder’s Signature
Print Name
ATTACHMENT 12
Disabled Veteran Business Enterprise Declarations Use (STD 843) Form
This form must be obtained from the Office of State Publishing website stated below. The form shall be downloaded and completed, signed, and returned with your bid package.
http://www.documents.dgs.ca.gov/pd/poliproc/STD-843FillPrintFields.pdf
If you do not have internet capabilities, please contact the following person to obtain a
Engineering
Engineering Branch
(916) 323-1587
STD.843 Use The Disabled Veteran Business Enterprise Declarations (STD.843) shall be included in competitive solicitations and/or request for offers.
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 Complete supplier is submitting a response to a competitive solicitation and/or request for This Form offer or in the case of 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 purchase document.
All original signatures of the STD. 843 for DVBE(s) associated with the awarded purchase document are to be kept in the procurement file.
http://www.documents.dgs.ca.gov/pd/poliproc/STD-843FillPrintFields.pdf
ATTACHMENT 13
Bidder Declaration Form GSPD-05-105
All bidders must complete the Bidder Declaration GSPD-05-105 and include it with the bid response.
The form should be downloaded, completed, and returned with your bid package.
http://www.documents.dgs.ca.gov/pd/delegations/GSPD105.pdf
If you do not have internet capabilities, please contact the following person to obtain a
Engineering
Engineering Branch Phone #: (916) 323-1587 Fax #: (916) 323-1622
ATTENTION
The Bidder Declaration form (GSPD-05-105) must be completed by the prime contractor. This form is used to document all DVBE sub-contractors, vendors, and suppliers that are performing part of the work.
DVBE must be listed on the GSPD-05-105.
In order to be responsive and eligible for award of the contract, bidder must attain the prescribed goals for the DVBE participation.
The DVBE participation requirement is mandatory by state law, whether you are conducting business as individual, partnership or corporation.
IMMEDIATE ACTION REQUIRED
THE DVBE PARTICIPATION REQUIREMENT FOR THIS
SOLICITATION IS 3%
FAILURE TO FULFILL THE DVBE REQUIREMENT WILL RENDER
YOUR BID NON-RESPONSIVE.
http://www.documents.dgs.ca.gov/pd/delegations/GSPD105.pdf
ATTACHMENT 14
STATE OF CALIFORNIA
CALIFORNIA DEPARTMENT OF FISH AND WILDLIFE
BIDDER'S BOND
KNOW ALL MEN BY THESE PRESENTS: THAT we,______________________________________
________________________________________as Principal, and______________________________
________________________________________as Surety, are held firmly bound unto the State of California, hereinafter called the State, in the penal sum of ten percent (10%) of the total amount of the bid of the Principal above named, submitted by said Principal to the State of California, California Department of Fish and Wildlife for the work described below, for the payment of which sum in lawful money of the United States, well and truly to be made, we bind ourselves, our heirs, executors, administrators and successors, jointly and severally, firmly by these presents.
THE CONDITION of this obligation is such that: WHEREAS, the Principal has submitted the abovementioned bid to the State of California, California Department of Fish and Wildlife, for certain construction specifically described as follows, for which bids are to be opened at______________________________________________
(INSERT PLACE WHERE BIDS WILL BE OPENED)
on_____________________________for___________________________________________________
(INSERT DATE OF BID OPENING) (COPY HERE THE CONTRACT NUMBER AND THE EXACT DESCRIPTION OF WORK,)
(INCLUDING THE LOCATION AS IT APPEARS ON THE PROPOSAL)
NOW; THEREFORE, if the aforesaid Principal is awarded the contract and, within the time and manner required under the specifications, after the prescribed forms are presented to him for signature, enters into a written contract, in the prescribed form, in accordance with the bid, and files the two bonds with the Department, one to guarantee faithful performance and the other to guarantee payment for labor and materials, as required by law, then this obligation shall be null and void; otherwise, it shall be and remain in full force and virtue.
In the event suit is brought upon this bond by the Obligee and judgment is recovered, the Surety shall pay all costs incurred by the Obligee in such suit, including a reasonable attorney's fee to be fixed by the court.
IN WITNESS WHEREOF, we have hereunto set our hands and seals on this_________________________day of _______________________, 19_____.
__________________________________(Seal)
PRINCIPAL
__________________________________(Seal) SURETY
NOTE: Signatures of those executing for the Surety must be properly acknowledged.
| 08 Section H cover sheet.pdf |
| 09 Section H Nov, 2015 for Water Fixtures.pdf |
| An Unsigned Bid/Bidder Certification Sheet May Be Cause For Rejection |
| CONTRACTOR CERTIFICATION CLAUSES |
| SURFACE MINING AND RECLAMATION ACT (SMARA) |
| CERTIFICATION FORM |
| Vendor/Supplier Name: _______________________________________ |
File details come from the government source that posted it. Updated .