Request_for_Quote_240159.pdf

DEPARTMENT OF MOTOR VEHICLES

ADMINISTRATIVE SERVICES DIVISION

P.O. BOX 932382

SACRAMENTO, CA 94232-3820

CALIFORNIA STATE TRANSPORTATION AGENCY Gavin Newsom, Governor

Solicitation Number:

Samantha Swanson 2415 1st Avenue MS: E112

Sacramento, CA 95818

(916) 818-2839

Samantha.Swanson@dmv.ca.gov

The Department of Motor Vehicles would like to request a quote from your company, which will be awarded to the lowest cost vendor. If your company/firm is interested in bidding, please note that the following provisions and instructions are in force for this solicitation. Bidders are advised to read each document.

Solicitation Method

General Provisions

Bidder Instructions

DVBE Substitution Requirements

Bidder Declaration Form Requirements

Federal Motor Carrier Safety Admin Terms

Questions and Answers

Tie Breaking

Post-Award Protests

: COMPETITIVE

: Non-IT General Provisions 02202025

: Bidder Instructions

: DVBE Substitution Requirements

: Bidder Declaration Form Requirements

: DMV.CA.GOV

: Questions must be submitted no later than by 5:00 PM.

: In the event of a tie, a witnessed coin toss will determine the winner.

: In accordance with Public Contract Code Section 10306, the following are the key action dates related to Post-Award Protests. All dates are Close of Business (COB) of the date given.

: To submit a written request to have notice of proposed award publicly posted.

: To submit a protest to the awarding department/buyer concerning the proposed contract award.

: To file with the VCGCB a full and complete written statement specifying in detail the ground of the protest and the facts in support thereof.

DVBE Waiver Notification : See Attachment X for information regarding the DVBE Requirement and Incentive.

EO N-6-22 Russian Sanctions

Recycled Products Provisions

: See Attachment Y for information regarding Russian Sanctions.

: See California Public Contract Code Section 12203 (d)

Except as outlined in PCC 12156 (b), it is unlawful to prohibit a printer or duplication cartridge that is sold to the State from being remanufactured or recycled.

mailto:jason.kenney@dmv.ca.gov mailto:shua.Davis@dmv.ca.gov https://www.dgs.ca.gov/PD/Resources/Page-Content/Procurement-Division-Resources-List-Folder/Required-Language-for-Solicitations-and-Contracts?search=general%20provisions http://www.documents.dgs.ca.gov/dgs/FMC/GS/PD/DGSPD%20451.pdf https://www.dgs.ca.gov/PD/Services/Page-Content/Procurement-Division-Services-List-Folder/File-DVBE-Substitution-Report?search=dvbe%20substitution%20requirements https://www.documents.dgs.ca.gov/dgs/fmc/gs/pd/gspd05-105.pdf https://www.dmv.ca.gov/portal/?1dmy&urile=wcmpath%2Fdmv_content_en%2Fdm

REQUEST FOR QUOTATION

DMV CONTACT PERSON:

DELIVERY LOCATION:

DELIVERY

REQUIREMENTS:

(MAY NOT APPLY FOR ALL ITEMS)

If bidders are electing to fax or email their solicitations, please note the following:

Facsimile machine bids will be considered only if they are sent to 916.657.5647 for solicitations originating from the DMV Headquarters, ASD Procurement, Non-IT Goods Unit. Emailed response will also be accepted, when sent only to the requesting buyer. Bids sent to any other Non-IT Goods Unit fax number(s) will not be considered. To be considered, all pages of the faxed bid that are received prior to the bid opening time specified in the bid will be considered "the complete bid". Please be advised that there is a heavy demand placed on the fax machine receiving bids and the State assumes no responsibility if a supplier cannot transmit their bid via fax, if the entire bid is not received prior to the bid opening time.

# DESCRIPTION

SEE ATTACHED IF APPLICABLE QTY UOM UNIT PRICE EXTENSION MANUFACTURER AND

MODEL NUMBER

NOTE: Shipping costs may NOT exist as a stand-alone line item. All shipping costs must be reflected back into the item(s) price

% DVBE PARTICIPATION: SUBTOTAL: $

DATE BID EXPIRES: OTHER, NON-SHIPPING CHARGES: $

WARRANTY PERIOD: TOTAL: $

APPROX. LEAD TIME:

THE BIDDER'S CALIFORNIA SELLER'S PERMIT OR CERTIFICATE OF REGISTRATION NUMBER:

IS THE BIDDER CLAIMING SMALL BUSINESS PREFERENCE? If YES, #: NO:

IS THE BIDDER A CERT. DISABLED VETERAN BUSINESS? If YES, #: NO:

FIRM NAME CONTACT PERSON

ADDRESS CONTACT PHONE

CITY, STATE, AND ZIP CONTACT FAX

I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that I am duly authorized to legally bind the prospective Contractor to the specifications, clauses, and requirements of this Request for Quotation (RFQ) and its attachments. By signing this document I do hereby certify that the above information is accurate to the best of my knowledge, as well as that the products quoted meet the specifications as they are written in this RFQ and its attachments. This certification is made under the laws of the State of California. Signature and Submission of bid acknowledges acceptance and compliance with the General Provisions as referenced above.

PRINTED NAME AND TITLE OF PERSON SIGNING BIDDER'S FEDERAL ID NUMBER

X

BY (AUTHORIZED SIGNATURE) DATE EXECUTED

ATTACHMENT A

RFQ NUMBER:

RFQ DUE DATE:

RFQ EVAL DATE:

EVAL. METHOD:

State of California-Department Of General Services, Procurement Division Solicitation Number: P-230109

GSPD-05-105 (EST 8/09)

1. Prime bidder information (Review attached Bidder Declaration Instructions prior to completion of this form):

a. Identify current California certification(s) (MB, SB, SB/NVSA, DVBE, or NONE): __________ (If “None”, go to Item #2) b.

c. If you are a California certified DVBE:

2. If no subcontractors will be used, skip to certification below. Otherwise, list all subcontractors for this contract.

(Attach additional pages if necessary):

Good Standing?

51% Rental?

PAGE _____ OF _____

BIDDER DECLARATION

Subcontractor Name, Contact Person Phone

Number & Fax Number

CA Certification (MB, SB, DVBE or None)

Corresponding % of bid price

Work Performed or Goods Provided for this contract

Subcontractor Address & Email Address

Will subcontractors be used for this contract? YES __________ NO __________ (If yes, indicate the distinct element of work your firm will perform in this contract. E.g., list the proposed products produced by your firm, state if your firm owns the transportation vehicles that will deliver the products to the State, identify which solicited services your firm will perform, etc.). Use additional sheets, as necessary.

(1) Are you a broker or agent? YES __________ NO __________

(2) If the contract includes equipment rental, does your company own at least 51% of the equipment provided in this contract (quantity and value)?

YES __________ NO __________ N/A __________

CERTIFICATION: By signing the bid response, I certify under penalty of perjury that the information provided is true and correct.

State of California-Department Of General Services, Procurement Division

GSPD-05-105 (EST 8/09) INSTRUCTIONS

All prime bidders (the firm submitting the bid) must complete the Bidder Declaration. 2. (continued) Column Labels 1.a.

• Microbusiness (MB)

• Small Business (SB)

• Nonprofit Veteran Service Agency (NVSA)

• Disabled Veteran Business Enterprise (DVBE)

1.b.

1.c. This item is only to be completed by businesses certified by California as a DVBE. • (1)

(2) Enter “N/A” if the:

BIDDER DECLARATION Instructions

Note: A subcontractor is any person, firm, corporation, or organization contracting to perform part of the prime’s contract.

Possesses valid license(s) for any license(s) or permits required by the solicitation or by law

CA Certification (MB, SB, NVSA, DVBE or None) —If the subcontractor possesses a current State of California certification(s), verify on this website (www.eprocure.pd.dgs.ca.gov).

Work performed or goods provided for this contract —Identify the distinct element of work contained in the contract to be performed or the goods to be provided by each subcontractor.

Certified subcontractors must provide a commercially useful function for the contract. (See paragraph 1.b above for code citations regarding the definition of commercially useful function.)

If a certified subcontractor is further subcontracting a greater portion of the work or goods provided for the resulting contract than would be expected by normal industry practices, attach a separate sheet of paper explaining the situation.

Mark either “Yes” or “No” to identify whether subcontractors will be used for the contract. If the response is “No”, proceed to Item #1.c. If “Yes”, enter on the line the distinct element of work contained in the contract to be performed or the goods to be provided by the prime bidder.

Do not include goods or services to be provided by subcontractors.

Bidders certified as MB, SB, NVSA, and/or DVBE must provide a commercially useful function as defined in Military and Veterans Code Section 999 for DVBEs and Government Code Section 14837(d)(4)(A) for small/microbusinesses. Corresponding % of bid price —Enter the corresponding percentage of the total bid price for the goods and/or services to be provided by each subcontractor. Do not enter a dollar amount.

Bids must propose that certified bidders provide a commercially useful function for the resulting contract or the bid will be deemed non-responsive and rejected by the State. For questions regarding the solicitation, contact the procurement official identified in the solicitation.

Good Standing? —Provide a response for each subcontractor listed. Enter either “Yes” or “No” to indicate that the prime bidder has verified that the subcontractor(s) is in good standing for all of the following:

If a corporation, the company is qualified to do business in California and designated by the State of California Secretary of State to be in good standing

Declare whether the prime bidder is a broker or agent by marking either “Yes” or “No”.

The Military and Veterans Code Section 999.2 (b) defines “broker” or “agent” as a certified DVBE contractor or subcontractor that does not have title, possession, control, and risk of loss of materials, supplies, services, or equipment provided to an awarding department, unless one or more of the disabled veteran owners has at least 51-percent ownership of the quantity and value of the materials, supplies, services, and of each piece of equipment provided under the contract.

Possesses valid State of California certification(s) if claiming MB, SB, NVSA, and/or DVBE status

51% Rental? —This pertains to the applicability of rental equipment. Based on the following parameters, enter either “N/A” (not applicable), “Yes” or “No” for each subcontractor listed.

If bidding rental equipment, mark either “Yes” or “No” to identify if the prime bidder owns at least 51% of the equipment provided (quantity and value). If not bidding rental equipment, mark “N/A” for “not applicable.”

Identify all current certifications issued by the State of California. If the prime bidder has no California certification(s), check the line labeled “None” and proceed to Item #2. If the prime bidder possesses one or more of the following certifications, enter the applicable certification(s) on the line:

Subcontractor Name, Contact Person, Phone Number & Fax Number —List each element for all subcontractors.

Subcontractor Address & Email Address —Enter the address and if available, an Email address.

Enter “No” if the subcontractor is a California certified DVBE providing rental equipment but the subcontractor does NOT own at least 51% of the rental equipment (quantity and value) it will be providing.

Read the certification at the bottom of the page and complete the “Page ___ of ___” accordingly.

Subcontractor is NOT a DVBE (regardless of whether or not rental equipment is provided by the subcontractor) or

• Subcontractor is NOT providing rental equipment (regardless of whether or not subcontractor is a DVBE)If no subcontractors are proposed, do not complete the table. Read the certification at the bottom of the form and complete “Page ___ of ___” on the form. Enter “Yes” if the subcontractor is a California certified DVBE providing rental equipment and the subcontractor owns at least 51% of the rental equipment (quantity and value) it will be providing for the contract.

If subcontractors will be used, complete the table listing all subcontractors. If necessary, attach additional pages and complete the “Page ___ of ___” accordingly.

DARFUR CONTRACTING ACT CERTIFICATION

A Public Service Agency

INITIALS

OR

INITIALS

Complete this section if selecting #1 or #2

OR

INITIALS

Complete this section if selecting #3

CERTIFICATION For #3.

ADM 780 (REV. 2/2010) DMVWeb

Pursuant to Public Contract Code section 10478, if a bidder, vendor or proposer currently or within the previous three years has had business activities or other operations outside of the United States, it must certify that it is not a “scrutinized” company as defined in Public Contract Code section 10476

The Department of Motor Vehicles (DMV) will regard this certificate as valid for three years from the date of certification or until the Department learns that the bidder, vendor, or proposer has business or business operations outside of the United

States or becomes a scrutinized company for all agreements or transactions entered into between the bidder, vendor, or proposer and the DMV without requiring a new and individual certificate for each agreement or transaction.

We do not currently have, and have not had within the previous three years, business activities or other operations outside of the United States. We, the bidder, vendor or proposer, will notify the department if and when we do business outside of the United States.

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 (DGS) 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.

To be eligible to submit or supply a bid or proposal for goods and services, please initial one of the following choices and fill in the appropriate box with the required information:

COMPANY / VENDOR NAME (PRINTED)

DATE EXECUTED

PRINTED NAME AND TITLE OF PERSON SIGNING

NOTE: A submitted bid or proposal for Contracts or Procurement will be disqualified unless it includes this form with either paragraph #1 or #2 initialed or paragraph #3 initialed and certified.

FEDERAL ID NUMBER

We currently have, or we have had within the previous three years, business activities or other operations outside of the United States, but we certify below that we are not a scrutinized company as defined in

Public Contract Code section 10476. We, the bidder, vendor or proposer, will notify the department if and when we become a scrutinized company.

I, the official named below, CERTIFY (OR DECLARE) UNDER PENALTY OF PERJURY that I am duly authorized to legally bind the prospective proposer/bidder to the clause listed above in # 3. This certification is made under the laws of the State of California.

PROPOSER/BIDDER FIRM NAME (PRINTED) FEDERAL ID NUMBER

PRINTED TITLE AND NAME FOR PERSON INITIALING (FOR OPTIONS 1 OR 2) DATE

BY (AUTHORIZED SIGNATURE)

EXECUTED IN THE COUNTY AND STATE OF

X

STATE OF CALIFORNIA - DEPARTMENT OF GENERAL SERVICES PROCUREMENT DIVISION

DISABLED VETERAN BUSINESS ENTERPRISE DECLARATIONS

STD 843 (Rev 5/2206)

DVBE Ref. Number:

SCPRS Ref. Number:

APPLIES TO ALL DVBE's. Check only one box in Section 2 and provide original signatures.

All DV owners and managers of the DVBE (attach additional pages with sufficient signature blocks for each person to sign):

Firm/Principle for whom the DVBE is acting as broker or agent:

(If more than one firm, list on extra sheets.)

Firm/Principle Phone: Address:

APPLIES TO ALL DVBE's THAT RENT EQUIPMENT AND DECLARE THE DVBE IS NOT A BROKER.

Disabled Veteran Owner(s) of the DVBE (attach additional pages with signature blocks for each person to sign):

Disabled Veteran Manager(s) of the DVBE (attach additional pages with sufficient signature blocks for each person to sign):

(Date Signed)(Signature of DV Manager)(Printed Name of DV Manager)

(Printed Name) (Date Signed)(Signature)

(Telephone) (Tax ID Number of Owner)(Address of Owner)

SECTION 3

(Print or Type Name)

Pursuant to Military and Veterans Code Section 999.2 (c), (d) and (g), I am (we are) the DV(s) with at least 51% ownership of the DVBE, or a DV manager(s) of the DVBE. The DVBE maintains certification requirements in accordance with Military and Veterans Code Section 999 et. seq.

The undersigned owner(s) own(s) at least 51% of the quantity and value of each piece of equipment that will be rented for use in the contract identified above. I (we), the DV owners of the equipment, have submitted to the administering agency my (our) personal federal tax return(s) at time of certification and annually thereafter as defined in Military and Failure by the disabled veteran equipment owner(s) to submit their Veterans Code 999.2, subsections (c) and (g). personal federal tax return(s) to the administering agency as defined in Military and Veterans Code 999.2, subsections (c) and (g), will result in the DVBE being deemed an equipment broker.

(Printed Name of DV Owner/Manager) (Signature of DV Owner/ Manager) (Date Signed)

Pursuant to Military and Veterans Code Section 999.2 (f), I (we) declare that the DVBE is a broker or agent for the principal(s) listed below or on an attached sheet(s). (Pursuant to Military and Veterans Code 999.2 (e), State funds expended for equipment rented from equipment brokers pursuant to contracts awarded under this section shall not be credited toward the 3-percent DVBE participation goal.)

(FOR STATE USE ONLY)

SECTION 2

I (we) declare that the DVBE is not a broker or agent, as defined in Military and Veterans Code Section 999.2 (b), of materials, supplies, services or equipment listed above. Also, complete Section 3 below if renting equipment.

Instructions: The disabled veteran (DV) owner(s) and DV manager(s) of the Disabled Veteran Business Enterprise (DVBE) must complete this declaration when a DVBE contractor or subcontractor will provide materials, supplies, services or equipment [Military and Veterans Code Section 999.2]. Violations are misdemeanors and punishable by imprisonment or fine and violators are liable for civil penalties. All signatures are made under penalty of perjury.

SECTION 1

(Date Signed)(Signature of DV Owner/ Manager)(Printed Name of DV Owner/Manager)

Name of Certified DVBE:

Description (materials/supplies/services/equipment proposed):

Solicitation/Contract Number: P-240157

STATE OF CALIFORNIA

Department of Resources Recycling and Recovery (CalRecycle) CalRecycle 74 (Revised 1/10 for State Agencies)

Item # 1 2 SABRC Product Category Code

M eets SA

B R

C

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

Signature

(See footnotes on the back of this page.)

The State Agency Buy Recycled Campaign (SABRC) is a state mandated program that requires the reporting of all purchases made within 11 specified product categories. All state agencies are required to verify the recycled-content of all products purchased within each of these categories.

Purchasing Agent:

Contract./Company Address:

Contractor/Company Name:

Phone:

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

P-240157

Title DatePrint Name

Product or Services Description Percent Postconsumer Recycled-Content Material

Purchase Order #

RFQ #

RFP #

IFB #

Cal Card Order #

Samantha Swanson Phone:

(916) 818-2839 samantha.swanson@dmv.ca.gov

Postconsumer-Content Certification

All businesses shall certify in writing to the contracting officer or his or her representative the minimum percentage, if not 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.

TO BE COMPLETED BY THE STATE AGENCY'S ACQUISITIONS ANALYST:

State Agency:

E-mail:

PO #:

Department of Motor Vehicles

240157 mailto:jason.kenney@dmv.ca.gov mailto:jason.kenney@dmv.ca.gov mailto:jason.kenney@dmv.ca.gov mailto:jason.kenney@dmv.ca.gov mailto:jason.kenney@dmv.ca.gov

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

Paper Products

Code Product Categories

6a

6b

Tire- Derived Products Metal

Lubricating Oils

Plastic Products

Paint

Printer or Duplication Cartridges

Antifreeze Tires

Mulch, Compost, and Co-compost Products

Printing and Writing Papers

Glass Products

Water-based paint, graffiti abatement, interior and exterior, and maintenance.

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.

50 percent postconsumer paint (exceptions when 50 percent postconsumer content is not available or is restricted by a local air quality management district, then 10 percent postconsumer content may be substituted).

Have 10 percent postconsumer material, are purchased as remanufactured, or backed by vendor program (take back the printer cartridge, ensure that the cartridge is recycled as per PCC 12156.

FO

O

T N

O T

E S:

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

10 percent postconsumer, by weight.

70 percent re-refined base oil.

10 percent postconsumer, by weight.

Product Examples (Examples are inclusive, but are not limited to the individual product)

Minimum Postconsumer Content Required

30 percent by fiber weight postconsumer fiber.

70 percent postconsumer material.

Retreaded: Must use existing casing (undergone retreading or recapping as per PCC section 42400 and on) 50 percent recycled used tires.

10 percent postconsumer material, by weight.Staplers, paper clips, steel furniture, desks, pedestals, scissors, jacks, rebar, pipe, plumbing fixtures, chairs, ladders, file cabinets, shelving, containers, lockers, sheet metal, girders, building/const. products, bridges, braces, nails, & screws.

Flooring, mats, wheelchair ramps, playground cover, parking bumpers, bullet traps, hoses, bumpers, truck bedliners, pads, walkways, tree ties, road surfacing, wheel chocks, rollers, traffic control products, mudflaps, and posts.

Truck and bus tires, and those used on fleet vehicles and passenger cars.

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

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

“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.

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.

Windows, test tubes, beakers, laboratory or hospital supplies, fiberglass (insulation), reflective beads, tiles, construction blocks, desktop accessories, flat glass sheets, loose-grain abrasives, deburring media, liquid filter media, and containers.

Soil amendments, erosion controls, soil toppings, ground covers, weed suppressants, and organic materials used for water conservation; yard trimmings and wood byproducts that are separated from the municipal solid waste stream or other source of 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.

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.

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

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

30 percent by fiber weight postconsumer fiber.

Paper janitorial supplies, cartons, wrapping, packaging, file folders, and hanging files, building insulation and panels, corrugated boxes, tissue, and toweling.

ATTACHMENT X – DVBE REQUIREMENT AND INCENTIVE

DVBE REQUIREMENT:

The DVBE Requirement has been waived for this solicitation.

DVBE INCENTIVE:

In order to meet the California Disabled Veteran Business Enterprise Incentive, bidders must be, or partner with, a California Certified DVBE.

All certified DVBE’s must perform a “commercially useful function” in the performance of the contract. For more information regarding the DVBE incentive, please review the Department of General’s website at http://www.documents.dgs.ca.gov/pd/smallbus/CUF/DVBEIncentiveRequireGoodIT.pdf.

Note: DVBE Incentive is applied during the evaluation process and is only applied for responsive bids from responsible bidders proposing the percentage(s) of DVBE participation for the incentive(s) specified below:

Confirmed DVBE Participation of: DVBE Incentive:

5% and Over 5% 4% - 4.99% inclusive 4% 3% - 3.99% inclusive 3%

ADDITIONAL INFORMATION: Certified small businesses and disabled veteran businesses listed as subcontractors must perform a "commercially useful function" in the performance of the contract. The term “commercially useful function” is defined in Government Code Section 14837(d) (4) and in Military and Veterans Code Section 999(b)

(5) (B).

The Disabled Veteran Business Enterprise Declarations (STD. 843) form is completed by a California certified DVBE owner and DVBE managers of the DVBE who will be participating in the awarded purchase document. The Std 843 must be submitted with the bid response if the bidder is either a certified CA DVBE or subcontracting with a certified

CA DVBE.

The STD 843 may be found on the following website:

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

Note: Per Senate Bill 548…If for this agreement contractor made a commitment to achieve disabled veteran business enterprise http://www.documents.dgs.ca.gov/pd/smallbus/CUF/DVBEIncentiveRequireGoodIT.pdf http://www.documents.dgs.ca.gov/pd/poliproc/STD-843FillPrintFields.pdf

(DVBE) participation, then contractor must within 60 days of receiving final payment under this agreement (or within such other time period as may be specified elsewhere in this agreement) certify in a report to the awarding department: (1) the total amount the prime contractor received under the contract; (2) the name and address of the DVBE(s) that participated in the performance of the contract; (3) the amount each DVBE received from the prime contractor; (4) that all payments under the contract have been made to the DVBE(s);

and (5) the actual percentage of DVBE participation that was achieved. A person or entity that knowingly provides false information shall be subject to a civil penalty for each violation. (Military & Veterans Code (M&VC) § 999.5(d)).

Contractor understands and agrees that should award of this contract be based in part on their commitment to use the Disabled Veteran Business Enterprise (DVBE) subcontractor(s) identified in their bid or offer, per Military and Veterans Code

999.5 (e), a DVBE subcontractor may only be replaced by another DVBE subcontractor and must be approved by the Department of General Services (DGS). Changes to the scope of work that impact the DVBE subcontractor(s) identified in the bid or offer and approved DVBE substitutions will be documented by contract amendment. Failure of Contractor to seek substitution and adhere to the DVBE participation level identified in the bid or offer may be cause for contract termination, recovery of damages under rights and remedies due to the State, and penalties as outlined in M&VC § 999.9;

Public Contract Code (PCC) § 10115.10.

ATTACHMENT 9 - DVBE SUBCONTRACTOR AGREEMENT

If utilizing a DVBE subcontractor, as indicated in method A1.c or A2.c in the link provided, submit the signed (by the prime and DVBE subcontractor) agreement from Attachment 9 with bid response.

Refer to this website for additional information:

Specifications for Visual Acuity Testing Devices

This document describes recommended technical specifications and additional areas of consideration for visual acuity testing devices to be purchased by the California Department of Motor Vehicles for purposes of testing license applicants’ static visual acuity. These recommendations are based upon a recent pilot study conducted by DMV Research & Development as well as input provided by Field Operations Division (FOD) staff and management.

1 – Function

The vision tester must be able to measure static visual acuity in both eyes and in each eye separately for, at a minimum, those acuity levels at which DMV makes determinations regarding license issuance, license restrictions, and license terms. At present (2025), these acuity levels including the following: 20/40, 20/50, 20/70, and 20/100.

2 – Operation

2.1 – Operator Considerations

2.1.1 – The manufacturer shall document the necessary warm-up period for appropriate lighting in the device during testing. This warm-up period shall not exceed 30 seconds.

2.1.2 – The device shall be controlled by either (a) a manual switch or switches or

(b) a remote control unit. In either case, the manual switch or switches, or the remote control unit, must allow for turning the device on/off and for selecting test slides. In either case the manual switch or switches, or the remote control unit, must be located in a manner that is readily accessible to the operator, but less so to the examinee.

2.1.3 – Any electrical connection on the device shall be located in a manner that is readily accessible to the operator, but less so to the examinee.

2.1.4 - If the device malfunctions due to mechanical failure or light source failure, a warning light or sound shall be given to the operator.

2.1.5 - The device surfaces that come into contact with the examinee’s skin shall be of shape and materials that allow for cleaning and disinfection without requiring device removal from the counter.

2.1.6 - The vision testers should be configured in such a manner that only the forehead be pressed against the machine (rather than the entire face) to activate the device. The device should turn on when an examinee presses their forehead against a trigger.

2.1.7 – The device should be able to be activated by an on/off switch controlled by the operator (in addition to triggered by pressing the forehead against a bar, or triggered by some kind of automatic light sensor).

2.2 – Examinee’s Head Positioning The device must allow for proper positioning of the examinee’s head with minimal difficulty, regardless of whether they are wearing corrective lenses (including progressive lenses).

2.3 – Fusion problems

During binocular testing, the device shall be configured such that an examinee is able to achieve adequate image fusion without difficulty when his/her head is properly placed, and regardless of whether the examinee is using corrective lenses.

3 – Technical Specifications (accuracy and reliability).

3.1 – False fail rate The rate at which the machine fails customers who should have passed at a given acuity level (as determined by either (a) customer vision as measured using a Precision Vision ETDRS Illuminator Cabinet, or (b) customer vision as measured by a licensed health professional) cannot exceed 5%.

3.2 – False pass rate The rate at which the machine passes customers who should have failed at a given acuity level (as determined by either (a) customer vision as measured using a Precision Vision ETDRS Illuminator Cabinet, or (b) customer vision as measured by a licensed health professional) cannot exceed 5%.

3.3 – Overall accuracy The machine must correctly classify as least 95% of all customers, across all acuity levels at which DMV makes determinations regarding license issuance, license restrictions, and license terms, by comparison with either (a) customer vision as measured using a Precision Vision ETDRS Illuminator Cabinet, or (b) customer vision as measured by a licensed health professional.

3.4 – Vison Slides The slides that accompany the device must be able to measure vision acuity of 20/40, 20/50, 20/70, and 20/100. The slides should have two lines of random alphabet letters each vision reading. The slide must start with 20/40 on the top, preceded by the two lines of 20/50, two lines of 20/70, and two lines of 20/100 on the bottom.

The alphabetical letters must be readable from right to left or left to right. A secondary slide must be available for examinee’s that are illiterate or cannot identify alphabet letters. The secondary slide shall include shapes that are easily identified and not include letters or numbers. All slides should be in black and white (Black lettering and white background). Primary (1) and Secondary (2) Slide see attached samples: Note: Secondary Slide can be different from the example given.

4 – Physical Characteristics

4.1 – Total Weight

The device, accessories, and its transportation case shall together weigh no more than 20 pounds.

4.2. – Stability

When positioned on either a counter or table, either in use or not, the device must be stable and immobile without the need of additional external stabilizers.

4.2 – Casing

The device casing shall be made of rigid material that shall protect the device from damage due to external hazards and shock, and shall also insulate the device lenses, internal parts, and slides while in use from external contaminants.

4.3 – Lighting

Device bulbs shall maintain a constant level of illumination while in use and shall not drop below 80% of the intensity when new for the estimated useful life of the bulbs.

The manufacturer shall provide information on the life cycle of the bulbs and bulb replacement cost. The device shall have an indicator to alert the operator when one of the bulbs needs replacement. Bulbs shall not need a warm-up period over 30 seconds to reach their full intensity.

4.4 – Transportation

Each device shall be equipped with a case and a carrying handle that shall allow for safe and convenient transportation, by one person, of the device and of all accessories necessary for operation as described in the device manual.

5 – Safety Performance

5.1 – Thermal Hazards No part of the device that can be touched by users shall reach a temperature above 98 degrees Fahrenheit.

5.2 – Mechanical Hazards

All the device’s moving parts and accessories shall be able to be secured and locked in place when the device is being transported.

5.3 – Electrical Hazards

The device shall be fully and safely electrically insulated so that there is no chance of electrical shock to any user while it is plugged to an electrical outlet in both on and off conditions.

5.4. – Protection against Solid, Liquid, and Vapor Contaminants.

The device shall be insulated so that there is no need to clean the surfaces of the lenses unexposed to the outside environment and the device’s internal parts due to contaminant deposits over the useful life of the device.

6.1- Training The manufacture of the vision device shall provide a minimum, of one training and demonstration session of the functions of the device to a group of people to be later determined by the Department. The group will be provided with handouts describing the functions of the device and how the functions operate. The training and demonstration session will be at a time and place determined by the Department.

7 – Documentation

The manufacturer shall provide a device manual explaining and illustrating device parts, operation, maintenance procedures, and trouble-shooting. The manual shall cover at least the following:

7.1 – Instructions for device setup and proper operation.

7.2 – Description of onsite maintenance procedures required for proper operation at optimum performance (e.g. change of parts, bulbs, and cleaning of lenses).

7.3 – Required and recommended onsite and offsite maintenance schedules including how often specific parts should be cleaned and/or replaced.

7.4 – Safety requirements for proper and safe operation.

7.5 – Specification of replacements parts (e.g. bulbs, slides, and moving parts) if not supplied by the manufacturer of the original equipment.

7.6 – Specifications of luminance, ranges of visual acuity, and all other characteristics that are important to meeting this specification.

7.7 – Specifications for shipping the device, including type of shipping materials and instructions.

7.8 – Circumstances requiring shipping of device for repair or replacement.

7.9- Must provide a minimum two year warranty on parts and labor for each device.