SN169004ifb.doc

Providing Agency's Name

Agreement Number

Page _ of _

STATE OF CALIFORNIA--HEALTH AND HUMAN SERVICES AGENCY EDMUND G. BROWN JR., Governor

DEPARTMENT OF DEVELOPMENTAL SERVICES

SONOMA DEVELOPMENTAL CENTER

CONTRACT SERVICES

15000 ARNOLD DRIVE, P.O. BOX 163

ELDRIDGE, CA 95431

(707) 938-6426

(707) 938-6635 (FAX)

INVITATION FOR BID

Notice to Prospective Bidders

Clinical Laboratory Analysis Services March 15, 2016 You are invited to review and respond to this Invitation for Bid (IFB), entitled “Clinical Laboratory Analysis Services”, #SN169004. 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.ols.dgs.ca.gov/Standard+Language. If you do not have Internet access, a hard copy can be provided by contacting the person listed below.

In the opinion of Sonoma Developmental Center, 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:

Nicole Holscher Sonoma Developmental Center

(707) 938-6426

Nicole.holscher@sonoma.dds.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.

Nicole Holscher Contract Administrator

Notes:

1) All DVBE participation goals have been waived for this contract, but DVBE incentives will be accepted. See DVBE Program Requirements included in this IFB for more information.

Table of Contents

Section

Page

A) Purpose and Description of Services

B) Bidder Minimum Qualifications

C) Bid Requirements and Information

1) Key Action Dates

2) Mandatory Pre-bid Conference/walkthrough

3) Submission of Bid

4) Evaluation and Selection

5) Award and Protest

6) Disposition of Bid

7) Agreement Execution and Performance

8) Darfur Contracting Act of 2008

D) Preference Programs

1) Small Business Preference

E) Required Attachments

1) Required Attachment Check List

2) Bid/Bidder Certification Sheet 8-9

3) Bid Proposal 10-21

4) Bidder References

5) Darfur Contracting Act Form

6) Disabled Veteran Business Enterprise (DVBE) Bid Incentive Instructions

7) Disabled Veteran Business Enterprise Declarations (STD 843)

8) Bidder Declaration (GSPD-05-105)

9) Small Business Identification Questionnaire (DS1152)

10) Payee Data Record (STD 204)

11) Contractor's Certification Clauses (CCC-307)

F) Sample Standard Agreement (STD 213)

1) Exhibit A, Scope of Work

2) Exhibit B, Budget Detail and Payment Provisions

3) Exhibit C, General Terms and Conditions

4) Exhibit D, Special Terms and Conditions

Attachment, Sexual Harassment Prevention Policy

5) Exhibit E, Routine Laboratory Services

6) Exhibit F, HIPAA Statement of Assurances

A) Purpose and Description of Services

Contractor agrees to provide clinical laboratory analysis services to test blood samples for clients and employees at Sonoma Developmental Center in accordance with Exhibit E (Routine Laboratory Services) of the contract. The term of this contract will be from July 1, 2016, through June 30, 2018.

B) Bidder Minimum Qualifications

No bidder may bid on work of any kind that the bidder is not properly licensed. Any such bid received will be disqualified.

Contractor must comply with all state licensing requirements and be an approved Medicare/Medi-Cal provider.

C) Bid Requirements and Information

1) Key Action Dates

Event

IFB available to prospective bidders

March 15, 2016 Mandatory

Pre-bid conference and/or Walkthrough

April 6, 2016 @ 10:00 a.m.

Final Date for Bid Submission

April 14, 2016 @ 2:00 p.m.

Bid Opening

April 14, 2016 @ 2:00 p.m.

Notice of Intent to Award

April 18, 2016 Proposed Award Date

April 18, 2016 (Note: Times and dates for the Pre-bid conference and Bid Submission are strictly adhered to.)

2) Mandatory Pre-Bid Conference/walkthrough.

a) A mandatory pre-bid conference/walkthrough is scheduled at 10:00 a.m., on April 6, 2016, at Sonoma Developmental Center, Porter Admin Building, Room 216, 15000 Arnold Drive, Eldridge, CA 95431, for the purpose of discussing concerns regarding this IFB.

b) In the event a potential prime contractor is unable to attend the mandatory pre-bid conference/walkthrough, an authorized representative may attend on their behalf. The representative may only sign-in for one (1) company. Subcontractors may not represent a potential prime contractor at a mandatory pre-bid conference/walkthrough.

c) For contractors who need assistance due to a physical impairment, a reasonable accommodation will be provided by the awarding agency upon request for the pre-bid conference/walkthrough. The Contractor must call Nicole Holscher at (707) 938-6426 no later than the fifth working day prior to the scheduled date and time of the pre-bid conference to arrange for a reasonable accommodation.

3) Submission of Bid

a) All bids must be submitted under sealed cover and sent to Sonoma Developmental Center by dates and times shown in Section C, 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:

SN169004

“Clinical Laboratory Analysis Services”

Sonoma Developmental Center

Attn: Nicole Holscher, Contract Services

15000 Arnold Drive – P.O. Box 163

Eldridge, CA 95431

DO NOT OPEN

Bids not submitted under sealed cover may be rejected. A minimum of one (1) copy of the bid must be submitted.

b) All bids shall include the documents identified in Section E, Required Attachment Checklist (see page 7). Bids not including the proper "required attachments" shall 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:

U.S. Postal Service Deliveries

Hand Deliveries or UPS, Express Mail, Federal Express Sonoma Developmental Center Sonoma Developmental Center

Contract Services Contract Services/Porter Administration Bldg., Room 216 P.O. Box 163 15000 Arnold Drive

Eldridge, CA 95431 Eldridge, CA 95431

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, page 8. The signature should indicate the title or position that the individual holds in the firm. An unsigned bid may be rejected.

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

j) A bidder may withdraw its 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) The awarding agency 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) The awarding agency reserves the right to reject all bids. The agency 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.

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 (GTC) are not negotiable.

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

4) 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) The State will 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.

d) Award if made, will be to the lowest responsive responsible bidder.

5) Award and Protest

a) 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.

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

c) If any bidder, prior to the award of agreement, files a written protest with the Department of General Services, Office of Legal Services, 707 Third Street, 7th Floor, Suite 7-330, West Sacramento, CA 95605 and the (insert name of awarding agency) on the grounds that the (protesting) bidder is the lowest responsive responsible bidder, the agreement shall not be awarded until either the protest has been withdrawn or the Department of General Services has decided the matter.

d) Within five (5) days after filing the initial protest, the protesting bidder shall file with the Department of General Services and the awarding agency a detailed written statement specifying the grounds for the protest. The written protest must be sent to the Department of General Services, Office of Legal Services, 707 Third Street, 7th Floor, Suite 7-330, West Sacramento, California 95605. A copy of the detailed written statement should be mailed to the awarding agency. It is suggested that you submit any protest by certified or registered mail.

e) Upon resolution of the protest and award of the agreement, Contractor must complete and submit to the awarding agency the Payee Data Record (STD 204), to determine if the Contractor is subject to state income tax withholding pursuant to California Revenue and Taxation Code Sections 18662 and 26131. This form can be found on the Internet at www.osp.dgs.ca.gov under the heading FORMS MANAGEMENT CENTER. No payment shall be made unless a completed STD 204 has been returned to the awarding agency.

f) Upon resolution of the protest and award of the agreement, Contractor must sign and submit to the awarding agency, page one (1) of the Contractor Certification Clauses (CCC), which can be found on the Internet at www.dgs.ca.gov/contracts. This document is only required if the bidder has not submitted this form to the awarding agency within the last three (3) years.

6) Disposition of Bids

a) Upon bid opening, all documents submitted in response to this IFB will become the property of the State of California, and will be regarded as public records under the California Public Records Act (Government Code Section 6250 et seq.) and subject to review by the public.

b) Bid packages may be returned only at the bidder's expense, unless such expense is waived by the awarding agency.

7) Agreement Execution and Performance

a) Performance shall start not later than five (5) days, or on the express date set by the awarding agency 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 awarding agency, 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.

8) Darfur Contracting Act of 2008

Effective January 1, 2009, all Invitations for Bids (IFB) or Requests for Proposals (RFP) for goods or services must address the requirements of the Darfur Contracting Act of 2008 (Act). (Public Contract Code sections 10475, et seq.; Stats. 2008, Ch. 272). The Act was passed by the California Legislature and signed into law by the Governor to preclude State agencies generally from contracting with “scrutinized” companies that do business in the African nation of Sudan (of which the Darfur region is a part), for the reasons described in Public Contract Code section 10475.

A scrutinized company is a company doing business in Sudan as defined in Public Contract Code section 10476. Scrutinized companies are ineligible to, and cannot, bid on or submit a proposal for a contract with a State agency for goods or services. (Public Contract Code section 10477(a)).

Therefore, Public Contract Code section 10478 (a) requires a company that currently has (or within the previous three years has had) business activities or other operations outside of the United States to certify that it is not a “scrutinized” company when it submits a bid or proposal to a State agency. (See # 1 on the sample Attachment).

A scrutinized company may still, however, submit a bid or proposal for a contract with a State agency for goods or services if the company first obtains permission from the Department of General Services (DGS) according to the criteria set forth in Public Contract Code section 10477(b). (See # 2 on the sample Attachment).

D) Preference Programs

1) Small Business Preference: www.pd.dgs.ca.gov

“A five percent (5%) bid preference is available to a non-small business claiming twenty-five percent (25%) California certified small business subcontractor participation. If claiming the non-small business subcontractor preference, the bid response must include a list of the small businesses) with which you commit to subcontract in an amount of at least twenty-five percent (25%) of the net bid price with one or more California certified small businesses. Each listed certified small business must perform a “commercially useful function” in the performance of the contract as defined in Government Code Section 14837(d)(4).

“The required list of California certified small business subcontractors must be attached to the bid response and must include the following: 1) subcontractor name, 2) address, 3) phone number, 4) a description of the work to be performed and/or products supplied, 5) and the dollar amount or percentage of the net bid price (as specified in the solicitation) per subcontractor.

“Bidders claiming the five percent (5%) preference must commit to subcontract at least twenty-five percent (25%) of the net bid price with one or more California certified small businesses. Completed certification applications and required support documents must be submitted to the Office of Small Business and DVBE Certification (OSCC) no later than 5:00 p.m. on the bid due date, and the OSDC must be able to approve the application as submitted. Questions regarding certification should be directed to the OSCD at (916) 375-4940.”

2) DVBE Bid Incentive:

The DVBE Incentive program is being applied on this project. Refer to the DVBE Program Requirements for details.

E) Required Attachments

Refer to the following pages for additional Required Attachments that are a part of this agreement.

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 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

Attachment 3 Bid Proposal

Attachment 4 Bidder References Attachment 5 Darfur Contracting Act Form

Additional Attachment Small Business Identification Questionnaire (DS1152)

Additional Attachment Payee Data Record (STD 204)

Additional Attachment Contractor Certification Clauses (CCC-307). The CCC can be found on the Internet at www.ols.dgs.ca.gov/Standard+Language.

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 in duplicate with original signatures. The bid must be transmitted in a sealed envelope in accordance with IFB instructions.

Do not return Section C, Bid Requirements and Information (pages 2 through 6) nor the "Sample Agreement" at the end of this IFB.

A.

Our all-inclusive bid is $_______________________.

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

3. Address

Indicate your organization type:

4. FORMCHECKBOX

Sole Proprietorship

5. FORMCHECKBOX

Partnership

6. FORMCHECKBOX

Corporation

Indicate the applicable employee and/or corporation number:

9. Indicate applicable license and/or certification information:

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

a. California Small Business

Yes FORMCHECKBOX No FORMCHECKBOX

If yes, enter certification number:

b. Disabled Veteran Business Enterprise Yes FORMCHECKBOX No FORMCHECKBOX

If yes, enter your service code below:

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

Completion Instructions for Bid/Bidder Certification Sheet Complete the numbered items on the

Bid/Bidder Certification Sheet by following the instructions below.

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 your service code on the line. If you are not certified to one or both, place a check in the "No" box. If your certification is pending, enter the date your application was submitted to OSBCR.

ATTACHMENT 3

BID PROPOSAL-Section 1

Clinical Laboratory Analysis Services In compliance with your Invitation for Bid for Clinical Laboratory Analysis Services, I hereby propose to perform the work, as specified and described during the term July 1, 2016, through June 30, 2018, at the following rates as listed in Section 1 and Section 2 of the bid proposal:

of Tests

Cost per Test

Total

AFP Tumor Marker 25 X ___________ =

AFP & HCG 20 X____________ =

ADDITIONAL LABORATORY TESTS THAT MAY BE NEEDED (As per Bid Proposal-Section 2) $10,000

TOTAL BID:

(Enter this amount on page 8, Attachment 2, Item A) Bidder understands that the above test listing and number of tests needed is an estimate to be performed during the contract term. This listing and number of tests provided is to identify the lowest responsible bidder for the purpose of awarding this contract only.

Authorized Signature:

Printed Name:

Title:

Company:

Address:

Street P.O. Box

City State Zip Code

Email Address:

Federal Taxpayer No:

Are you claiming the 5 percent Small Business Preference? ( ) Yes ( ) No

BID PROPOSAL-Section 2

Additional Clinical Laboratory Analysis Services

The below listing of tests may need to be performed during the life of this contract. This listing is not used for the purpose of awarding this contract, but the bidder awarded this contract will be required to adhere to the prices listed below when/if the tests listed are needed to be performed.

Test

Cost per Test

125-HYDROXY VITAMIN D

24 HR. URINE PROPHYRIN

5-NUCLEOTIDE

ACETAMINOPHEN

ACID PHOSPHATASE

ACTH

AFB, CULTURE AND SMEAR

ALDOLASE

ALDOSTERONE

ALKALINE PHOSPHATASE

ALKALINE PHOSPHATASE ISOENZYMES

ALLERGY SCREENING PANEL

ALLOISOLEUCINE

ALPHA 1 ANTITRYPSIN

ALUMINUM

AMIKACIN

AMINO ACID, QUAL

AMINO ACID, QUANT

AMINO ACID, SCREEN

AMITRIPTYLINE

AMOEBA ANTIBODIES

AMYLASE ISOENZYME

ANA

ANAEROBIC CULTURE ID

ANCA

ANDROSTEREDIONE

ANGIOTENSION CONVERTING ENZYME (ACE)

ANTI CARDIOLYPIN PANEL IGA, IGG, IGM

ANTI DNA

ANTI DS DNA

ANTI ENDOMYCEAL ANTIBODIES

ANTI GLAIDIN ANTIBODIES

ANTI GLOMERULAR BASEMENT MEMBRANE

ANTI MICROSOMAL ANTIBODIES

ANTI MITOCHRONDIAL ANTIBODIES (AMA)

ANTI NEUTROPHIL CYTOPOSMIC

ANTI PLATELET ANTIBODY

ANTI RNA

ANTI SMOOTH MUSCLE AB

ANTI THYROBLOBULIN ANTIBODIES

ANTI THYROID PEROXIDASE

ANTIBODY (ACNA)

ANTI-CCP

ANTIHISTONE

ANTI-PEROXIDASE

ANTI-SCLERODERMA ATB.(SCL-70 &SCL-70 UNIT)

ASCORBID ACID

ASO TITRE

ASPERGILLIS CULTURE

BETA CAROTINE

BILIRUBIN, INDIRECT

BILIRUBIN, TOTAL AND DIRECT

BIOPSY

BLOOD ALCOHOL

BLOOD CULTURE

BLOOD TYPE

BLOOD/ANTIBODY SCREEN

BNP

BODY FLUIDS CELL COUNT AND DIFF

BORILIA TITER (LYME)

C 27 - 29

C PEPTIDE

CA 125

CA 15-3

CA 19-9

CALCIUM, IONIZED

CALCIUM, SERUM OR URINE

CALCULI (STONE ANALYSIS)

CAMPLYOBACTER CULTURE

CANNBINOIDES

CARBAMAZEPINE

CARBAMAZEPINE 10, 11 EPOXIDE

CARNITINE, TOTAL AND FREE

CAROTENE, ALPHA & BETA

CATACHOLAMINES URINE

CBC WITH MANUAL DIFFERENTIAL

CEA

CELIAC PANEL

CERULOSPLASM

CHLAMYDIA CULTURE/URINE

CHLAMYDIA DIRECT SLIDE FA TEST

CHLAMYDIA IGG, IGA, IGM

CHLAMYDIA, AB

CHLORPROMAZINE

CHOLINESTERASE

CHOLINESTERASE, RBC

CHORAL HYDRATE LEVEL

CHROMOSOME ANALYSIS

CHROMOSOME, FRAGILE X

CHROMOSOME, KARYOTYPING

CITRATE, URINE

CK-MB

CLOMIPRAMINE

CLONAZEPAM - 1

CLOSTRIDIUM DIFFICLE CULTURE

CLOSTRIDIUM DIFFICLE, CYTOTOXINS

CMV TITER

COCCIDIO IGG, IGM, IGA

COMBS, DIRECT AND INDIRECT

COMPLEMENT C2, C3, C4, C5

COMPLEMENT TOTAL (CH50, CH100)

COPPER, URINE AND SERUM

CORTICOSTERONE

CORTISOL SERUM

CPK

CPK ISOENZYMES

CREATINE

CREATINE CLEARANCE

CRYSTALS

CSF PROTEIN

CSP CELL COUNT & DIFF

CTX TEST

CULTURE AND SENSITIVITY

CYROGOBULINS

CYTOLOGY TISSUE

D DIMER

DESIPRAMINE

DHEA SULFATE

DHEA-S

DIAZEPAM

DIHYOROCHOLESTEROL

DNA-1

DOUBLE STRANDED DNA

DRUG SCREEN, SERUM OR URINE

ELECTROPHORESIS, PROTEIN, Hgb, IMMUNO

ENDOMYSIAL AB, IGA

ENTEROVIRUS IGM

EOSINOPHIL COUNT, BLOOD, NASAL, STOOL

EPSTEIN-BARR VIRUS PANEL

ERYTHROPOIETIN

ESTERS AND ETHERS

ESTRIOL, ESTRADIOL

ESTROGEN

ETHOSUXIMIDE - 1

FACTOR VIII, FACTOR XII ACTIVITY

FATTY ACID PROFILE

FEBRILE AGGLUTENINS

FECAL FAT QUANTITATIVE

FELBAMATE - 2

FERRITIN

FIBRIN SPLIT PRODUCTS

FIBRINOGEN DEGREDATION PRODUCT

FIBRINOGEN LEVEL

FISH (UROVYSION)

FLOW CYTOMETRY

FOOD ALLERGY SCREENING PANEL

FRAGILE X SYNDROME

FREE CARBAMAZEPINE

FREE FATTY ACIDS

FREE PHENYTOIN

FREE PSA

FUNGUS CULTURE, INDENTIFICATION, SMEAR

FUNGUS KOH PREP

GASTRIN

GEN PROBE FOR GC/CLAMYDIA

GEN-PROBE FOR CHLAMYDIA AND NESISSERIA

GETAMICIN

GIARDIA IMMUNO ASSAY

GIARDIA SPECIFIC ANTIGEN AB

GLIADEN IGA

GLUCOGON

GROWTH HORMONE

HATOGLOBIN (SERUM)

HEMOCYSTINE, METHYLMALONIC ACID

HEMOGLOBIN ELECTROPHORESIS

HEMOGRAM

HEPATITIS A ANTIBODY (IgM)

HEPATITIS B CORE ANTIBODY (IgM,IgG)

HEPATITIS B NEUTRALIZATION

HEPATITIS B SURFACE ANTIBODY

HEPATITIS B VIRUS DNA

HEPATITIS C BY RNA

HEPATITIS C ELISA

HEPATITIS C VIRUS (HCV) RNA QUANT.BDNA

HEPATITIS C VIRUS RNA QUAL.

HEPATITIS DELTA ANTIBODY/ANTIGEN

HEREDITARY ATAKIA PROFILE

HERPES CULTURE

HERPES SLIDE

HIGH SENS. CRP

HISTOLOGY, TISSUE AND SURGICAL

HISTOPLASMA ANTIBODY

HIV

HLA B 27

HOMOCYSTINE

HYDROXIPROGESTERONE - 17

IMMUNOELECTROPHORESIS

INDIA INK PREP

INFLUENZAE A AND B

INSULIN

INTACT PTH

KETONE, BLOOD OR URINE

KNEE FLUID ANALYSIS

LACTIC ACID

LATEX W/AMMONIATED EXT.

LDH ISOENZYMES

LEAD, FEP

LEGIONELLA

LEUCINE

LEUKOCYTE ALKALINE PHOSPHATASE

LEVOTHYROXINE

LIPASE

LIPID STUDY (INCLUDING HDL)

LITHIUM

LACOSAMIDE

LUPUS PROFILE

LYMES ANTIBODY (IgG, IgM)

MAGNESIUM, SERUM OR URINE

METHSUXIMIDE

METHYLMALONIC ACID

METOCLOPRAMIDE

MHA-TP

MMR PANELA (MEASLES, MUMPS, RUBELLA IMMUNITY)

MONO TEST

MUCOPOLYSACCHARIDES

MUMPS VIRUS AB, IGG, IGM

MYCOPLASMA PHEUMONIAE (IgG, IgM)

MYCOPLASMA TITRE

MYOGLOBIN

NEURON SPECIFIC ENOLASE

NOREPINEPHRINE

NORTRIPTOLYNE

N-TELOPEPTIDE

OLANZAPINE

ORGANIC ACID, SERUM OR URINE

OSMOTIC FRAGILITY, RBC

OSTEOCALCIUM

OVA AND PARASITES STOOL

OVARIAN ENDOCRINE PROFILE

OXLATE, URINE

PAP SMEAR

PARAINFLUENZAE STUDIES

PARATHYROID HORMONE INTACT

PARATHYROID HORMONE, C, N, TERMINAL

PEPTIDES

PEROXISOMAL PNL

PHE MONITORING

PHENOBARBITOL

PHENOBARBITOL, FREE

PHENYLALNINE

PHENYTOIN

PHENYTOIN, FREE

PHILADELPHIA CHROMOSOME

PHOSPHORUS SERUM

PLASMA CHROMOGRANINA

PLATELET ANTIBODIES

PLATELET COUNT

PORPHOLINOGEN DEAMINASE

PRE ALBUMIN

PRIMDONE

PROCAINAMINDE

PROGESTERONE

PROLACTIN

PROSTATIC ACID PHOSPHATASE

PROSTATIC SPECIFIC ANTIGEN

PROTEIN C AG

PROTEIN S AG

PROTEIN S, ACTIVATED

PROTEIN/CREATINNE RATIO URINE

PT/PTT

PYRUVATE

QUANT DRUG TESTING FOR AMPHETAMINES

QUANT DRUG TESTING FOR COCAINE

QUANT DRUG TESTING FOR OPIATES

QUANT DRUG TESTING FOR PCP

QUANT DRUG TESTING FOR THC

QUETIAPINE

QUINIDINE

RAJI

RAST

RBC FOLATE

RENIN

RETICULOCYTE COUNT

REVERSE T3

RHEMATOID FACTOR, QUAL AND QUANT

RISPERISONE

RPR

RSV, CULTURE AND ANTIBODIES

RUBEOLA ANTIBODY, IGG, IGM

SEDEMENTATION RATE

SELENIUM

SICKLE CELL SCREEN

SODIUM URINE

SOLUABLE TRANSFERRIN RECEPTOR

SOMATOMEDIN C

STONE ANALYSIS

STOOL CULTURE WITH CAMPYLOBACTER

STRONGYLODES IGG, IGA

SYNOVIAL FLUID CRYSTAL

SYNOVIAL FLUID PROTEIN

T3 UPTAKE

T4, FREE

TESTOSTERONE FREE AND TOTAL

THEOPHYLLINE - 3

THIORIDAZINE

THYROID PEROXIDASE

THYROID STIMULATING IMMUNOGLOBULIN (TSI)

TOBRAMYCIN

TOTAL T 4

TOXOCARA

TOXOPLASMA TITER

TRANSFRERRIN

TRANSGLUTAMISE IGA

TROPONIN

TRYPSIN

TRYPSINOGEN URINE

TSH

TYROSINE

TYROSINE, STOOL

TZANCK SMEAR

URIC ACID, SERUM OR URINE

URINE AMINO ACIDS

URINE CALCIUM

URINE CITRIC ACID

URINE CREATININE

URINE DRUG SCREEN

URINE EOSINOPHILS

URINE OXYLATES

URINE PHOSPHATES

URINE PHOSPHORUS

URINE PROTEIN

URINE SODIUM

UROPORPHYRINOGEN

VALIUM

VALPROCIC ACID

VALPROIC ACID, FREE

VANCOMYACIN

VARICELLA ZOSTER AB, IGG, IGM

VASOPRESSIN

VDRL

VERY LONG CHAIN FATTY ACIDS

VICTOSITY, SERUM

VIRAL STUDIES

VITAMIN A

VITAMIN B6

VITAMIN E

VITAMIN K

VMA

VMA FRACTIONATED

VON WILLEBRAND PROFILE

WELLBUTRIN LEVEL

ZAROTIN

ZINC

ATTACHMENT 4

BIDDER REFERENCES

Submission of this attachment is mandatory. Failure to complete and return this attachment with your bid will cause your bid to be rejected and deemed nonresponsive.

List below three references for services performed within the last five years, which are similar to the scope of work to be performed in this contract.

REFERENCE 1

Name of Firm

Brief Description of Service Provided

REFERENCE 2

Name of Firm

Brief Description of Service Provided

REFERENCE 3

Name of Firm

Brief Description of Service Provided

ATTACHMENT 5 – 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.

By (Authorized Signature)

Printed Name and Title of Person Signing

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.

Initials of Submitter

Printed Name and Title of Person Initialing

Note to Awarding Agency preparing this IFB.

Include a complete sample contract after this page in the IFB using the most current version(s) of the Standard Form(s).