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STATE OF CALIFORNIA------- CALIFORNIA STATE TRANSPORTATION AGENCY GAVIN NEWSOM, Governor
DEPARTMENT OF TRANSPORTATION
ADMINISTRATION
1727 30TH STREET, MS-65
SACRAMENTO, CA 95814
(916) 227-6000Making Conservation a California Way of Life.
Help save water!
TTY 711
http://caltrans-opac.ca.gov/ (04/2025) Department of Transportation REQUEST FOR QUOTE - NON-IT GOODS Up to $100,000 (Rev. 04/2025)
NON-IT GOODS LESS THAN $100,000
(Request For Quote)
RQS # 5025*11
Notice to Bidders You are invited to review and respond to this Request for Quote (RFQ), RQS # 5025*11. In submitting your quote, you shall comply with the instructions found herein. Prospective Vendors and/or Suppliers are encouraged to consider programs and preferences that are available, such as those for the use of Microbusinesses (MB), Small Businesses (SB), Disabled Veteran Business Enterprises (DVBE), Disadvantaged Business Enterprises (DBE), and other businesses covered by State and Federal programs and preferences.
This RFQ Solicitation incorporates, by reference, the Caltrans Bidder Instructions (1/2015).
Unless otherwise specified in this solicitation, bidder shall comply with DGS’ Bidders Instructions (GSPD-451; 11/09/2011).
All Purchase Orders entered into with Caltrans include, by reference Current Version, Non-IT Commodities, Non-IT General Provisions (DGS PD 401-NITGP; Revised and Effective 02/20/2025).
It is unlawful for any person engaged in business within this state to sell or use any article or product as a "loss leader" as defined in Section 17030 of the Business and Professions Code.
Time Schedule: It is recognized that time is of the essence. All bidders are hereby advised of the following schedule and will be expected to adhere to the specified required dates and times below.
Facsimile (Fax) machine and emailed quote packages will be considered only if they are sent to the fax number or email address below. Quote packages sent to any other fax number or email address will not be considered.
To be considered responsive, all pages from the Bidder’s Required Document Checklist must be received prior to the Quote Submission’s final due date and time as specified below. The State assumes no responsibility if a vendor cannot transmit its quote package via fax or email or if the entire quote package is not received prior to the quote due date and time.
| RFQ available to prospective bidders |
| 4/21/2025 |
| Questions Due from Prospective Bidders |
| 4/28/2025 |
| Quote Submission and Quote Opening Due Date and Time (Pacific Time) |
| 5/6/2025 |
| 13:00 |
RETURN QUOTES AND/OR SUBMIT QUESTIONS TO
Department of Transportation
| Requester’s Name David Peluso |
| District # HQ |
| Office Name Division of Procurements and Contracts |
Address (Street, City, State, Zip) 1727 30th Street MS65 Sacramento, CA 95826
| Telephone # (916) 639-6335 Ext. |
| Fax # ( ) - |
| david.peluso@dot.ca.gov |
Please note that no verbal information given will be binding upon Caltrans unless such information is issued in writing as an official addendum.
Submittal of an offer in response to this solicitation is the offeror’s acceptance to the terms and conditions in this solicitation and confirmation of compliance to the provisions set forth herein.
| Quote Date |
| Quote Expiration Date |
| Delivery Date/# of days ARO |
| Shipment |
| 60 days from Quote Due Date |
| ASAP |
| FOB Destination, Freight Prepaid |
SUPPLIER INFORMATION
| Supplier Name |
| Contact Name |
| Address |
| City |
| State |
| Zip Code |
| Phone Number |
| Fax Number |
| Email Address |
| Seller’s Permit Number |
| State Mine ID # (if applicable) |
| Federal Employer Identification (FEIN) Number |
Are you a DGS certified MB, SB, and/or DVBE, NVSB, or a Non-SB Business claiming the SB preference? Check all that apply and complete the applicable forms as indicated. NOTE: If you are using a SB or DVBE Supplier, you can receive a preference if requirements are met.
| |_| NSB |
| Non-SB Claiming at least 25% SB subcontractor preference (NSB) |
If claiming SB subcontractor preference, attach the SB’s quote on the SB’s letterhead.
| |_| SB |_| MB |
| DGS Certification Number: |
| If yes, manufacturer? |_| Yes |_| No |
| |_| DVBE |
| DGS Certification Number: |
| |_| SBNVSA |
| Small Business Nonprofit Veteran Service Agency Certification Number: |
| |_| Yes |_| No |
| Are you claiming a Recycled Content Preference? |_| Tires or Tire Derived Products (5%) |
Bidder offers and agrees if this response is accepted within 60 calendar days following the date the response is due to furnish all the items upon which prices are quoted, at the prices set opposite each item, delivered at the designated point(s) by the method of delivery and within the times specified and subject to the referenced General Provisions. DECLARATIONS UNDER PENALTY OF PERJURY; By signing below, with inclusion of the date of signature, the below signed bidder DECLARES UNDER PENALTY OF PERJURY under the laws of the State of California as follows: (1) (Statement of Compliance). The below signed as complied with the non-discrimination program requirements of Government Code 12990 and Title 2, California Administrative Code Section 8103, and such declaration is true and correct. (2) The National Labor Relations Board declaration set forth in Paragraph 43 of the General Provisions is true and correct. (3) If a claim is made for the Small Business or Disabled Veterans Business Enterprise preference, the information set forth within is true and correct. (4) “The State of California seeks to realize the potential benefits of GenAI, through the development and deployment of GenAI tools, while balancing the risks of these new technologies. Bidder / Offeror must notify the State in writing if it: (1) intends to provide GenAI as a deliverable to the State; or (2), intends to utilize GenAI, including GenAI from third parties, to complete all or a portion of any deliverable that materially impacts: (i) functionality of a State system, (ii) risk to the State, or (iii) Contract performance. For avoidance of doubt, the term “materially impacts” shall have the meaning set forth in State Administrative Manual (SAM) § 4986.2 Definitions for GenAI. Failure to report GenAI to the State may result in disqualification. The State reserves the right to seek any and all relief to which it may be entitled to as a result of such non-disclosure. Upon notification by a Bidder / Offeror of GenAI as required, the State reserves the right to incorporate GenAI Special Provisions into the final contract or reject bids/offers that present an unacceptable level of risk to the State. Government Code 11549.64 defines “Generative Artificial Intelligence (GenAI)” as an artificial intelligence system that can generate derived synthetic content, including text, images, video, and audio that emulates the structure and characteristics of the system’s training data.”
| Official Printed Name and Title (Must be authorized to bind vendor contractually) |
| Official’s Signature |
| Date |
Supplier Required Documents Checklist: To be considered responsive, Bidder must return the completed documents listed below with its quotes unless otherwise directed. Read and comply with all instructions as stated herein. All forms can be obtained through the links below. Bidders are required to utilize these links (as necessary), print the forms, complete and return with quote to be considered responsive. If a form does not apply, check “N/A” below.
| |_| |
| Supplier Information (This form signed and completed) |
| |_| |
| Quote Sheet(s) (attached) |
| |_| |
| Bidder Declaration Form (GSPD-05-105 Rev. 08/09) is required from ALL bidders. |
| |_| |
| Postconsumer Recycled-Content Certification (CalRecycle 74, MS Word) or (CalRecycle 74, fillable PDF) is required from ALL bidders. |
| |_| |
| |_| N/A |
| If your company has not, within the previous three years, had any business activities or other operations outside of the United States, check N/A. The official as signed above, CERTIFY UNDER PENALTY OF PERJURY that a) the bidder named herein has not, within the previous three years, had any business activities or other operations outside of the United States. If bidder is currently or within the previous three years has had business activities or other operations outside of the United States, you must complete Darfur Contracting Act Certification. |
| |_| |
| |_| N/A |
| Any certified as MB, SB, SB/NVSA, and/or DVBE prime contractor, subcontractor, or supplier must complete the Commercially Useful Function Certification form. If NOT a MB, SB, SB/NVSA, and/or DVBE, check N/A. |
| |_| |
| |_| N/A |
| If claiming DVBE status, you must complete STD. 843, Disabled Veteran Business Enterprise Declaration |
Note: Bidder may be required to complete and submit Payee Data Record (STD. 204) form listing Taxpayer Identification Number.
| Supplier Name |
| Contact Name |
| Supplier’s Quote Number |
COMMODITY INFORMATION: Vendor’s quotes as stated herein are all inclusive and no additional allowance will be paid unless separate payment provisions in the Purchase Order should specifically provide otherwise.
|_| The list of commodities is continued on the next page – The total of all quotes shall be entered on this page.
|X| Quotation Award: For the purposes of this solicitation, contract award will be made to the lowest responsive responsible bidder on the basis of “All or None.”
|_| Quotation Award: For the purposes of this solicitation, contract award will be made to the lowest responsive responsible bidder’s individual items and/or a combination of items.
Quotes on Supplier’s letterhead is subject to all requirements in this solicitation.
|_| Supplier Attached Quotes on Supplier’s Letterhead
| Item # |
| Quantity |
| Unit of Measure |
| Commodity or |
Product Code (if applicable) Description/Specifications/Pallet Requirements (Brand names and/or model numbers are for reference only as per Article 7 in (DGS’ Bidders Instructions/GSPD-451) Unit Price and Extension quotes are not required below if Supplier provides the quotes on its letterhead.
(Quantity* Unit Price)
***Statement of Work (SOW; Pages 4-5) must be completed if any labor or incidental services are present. The Department of Transportation’s Requester (Page 1) shall complete the SOW prior to requesting the quote.***
| 1 |
| 2 |
| EA |
| Zero Gravity Chair, |
Reclines to zero gravity position, also reclines to fully flat position. Support for up to (2) two 27" monitors and 1 side table.
Custom-sized to user body dimensions
| 1 |
| 2 |
| EA |
| Motorized Headrest, motorized headrest function to the chair backrest. Will allow for |
head angle adjustment.
| 1 |
| 2 |
| EA |
| Motorized Footrest, articulating footrest with motorized in/out adjustment |
| $ |
| $ |
| 1 |
| 2 |
| EA |
| Labor, see SOW page 4. |
| $ |
| $ |
Purpose: A Statement of Work (SOW) must be included for all Non-IT Purchase transactions that include labor. A clear and concise SOW protects the state and the contractor by identifying and documenting the details of the work to be performed. The information below is written for the acquisition of asphalt, but also applies to any Non-IT purchase involving labor. A SOW is unique to each acquisition and should reference the requisition (RQS) number. The final SOW will be attached and referenced in the Non-IT Purchase Order (PO).
*SOW Elements in bold below must be modified/completed specific to work be performed in completion and fulfillment of purchase order.
1. Scope of Work Measurements for end user to be made, installation.
2. Location of Work Arrangements to be made within 5 days after acceptance of order.
3. Period of Performance Arrangements to be made prior to shipping final product
4. Vendors Tasks – List of tasks of work to be performed.
1. Body measurements for end user
2. Installation at 1120 N Street, Sacramento, CA 95814 and at end user’s private residence.
5. Cost breakdowns n/a.
6. Task Schedule n/a
7. Applicable Standards n/a
8. Acceptance Criteria n/a
9. Special Requirements n/a
10. This Agreement will commence on <start date> (estimated) or upon approval by Caltrans, whichever is later, and no work shall begin before that time. This Agreement is of no effect unless approved by Caltrans. The Contractor shall not receive payment for work performed prior to approval of the Agreement and before receipt of notice to proceed by the Caltrans Contract Manager. This Agreement shall expire on <end date> (estimated). Contractor shall provide on-call services on a 24-hour per day, 7-days per week basis. The Contractor’s place of business or branch office shall be within, or adjacent to, the county of the designated service area(s). The parties may amend this Agreement as permitted by law.
11. All inquiries during the term of this Agreement will be directed to the project representatives listed below:
12.
| Department of Transportation (Caltrans) |
| Contractor: |
| Section/Unit: |
| Company Name: |
| Contract Manager: |
| Point of Contact: |
Address:
Address:
| Business Phone Number: |
| Business Phone Number: |
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