SPS_Supplier_Application.docx
DOCX document 48 KB Posted
- Solicitation number
- 0000037261
- Issued by
- California
About this file
Summary
This is a State Price Schedule (SPS) Supplier Application form issued by the California Department of General Services (DGS), Contracts Management Unit, Procurement Division for the 25-Year State Service and Retirement Awards contract listing. The application solicits qualified suppliers to provide core and non-core items including gold watches, silver watches, wall clocks, desk clocks, crystal or glass awards, vases, and plaques with medallions. The resulting contract will be available for use statewide by California state departments on an all-or-none basis. The contract term is three years with one two-year extension option. Suppliers must provide a brief narrative description of their company's products and services (not exceeding 250 words) and outline their distribution plan for delivering products to customers throughout California.
The application requires suppliers to complete multiple statutory compliance certifications, including the Darfur Contracting Act, Iran Contracting Act, and GenAI disclosures. Applicants must certify whether they will accept CAL-Card payments and agree to all State Price Schedule terms and conditions. Suppliers may hold California certifications including Small Business (SB) or Disabled Veteran Business Enterprise (DVBE) status. Suppliers are required to publish their product catalogs via their websites for public inspection upon approval. The application must be signed by an authorized company representative attesting to the accuracy of all information provided, with failure to comply with terms and conditions potentially resulting in removal from the approved supplier listing.
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Other files
| File | Type | Posted |
|---|---|---|
| SPS_Terms_and_Conditions.docx | DOCX document | |
| SPS_Supplier_Application_Instructions.docx | DOCX document | |
| SPS_Advertisement.docx | DOCX document |
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Text version
STATE PRICE SCHEDULE (SPS) SUPPLIER APPLICATION (CMU 09-03)
For use by suppliers applying for listing on SPS 2-26-84-14 (25-Year State Service and Retirement Awards)
PART I: Company Information
| Company Name: |
| Request Date: |
| Address, City, State, Zip: |
| Telephone No.: |
| Facsimile No.: |
| Email Address: |
| Contact Name: |
| Website: |
| Certifications: (California-Certified only) |
| |_| Small Business (SB) |
|_| Disabled Veteran Business Enterprise (DVBE)
| Certification No.: |
| CA Seller’s Permit No.: |
| Secretary of State (SOS) Certification No.: |
| Department of General Services | Contracts Management Unit |
| PROCUREMENT DIVISION | CMU 09-03 |
| REV 06/26/2014 | |
| Department of General Services | Contracts Management Unit |
| PROCUREMENT DIVISION | CMU 09-03 |
| REV. 11/03/2025 |
PART II: Products
Types of Core Items: (Check all that apply)
|_| Gold Watch |_| Silver Watch |_| Wall Clock |_| Desk Clock |_| Crystal or Glass Award |_| Vase |_| Plaque with Medallion
Confirmation Supplier will publish catalog for Core and Non-Core items:
| |_| |
| To be published via the supplier’s website on the internet (available for inspection by customers and/or the general public), if approved. |
Narrative - Briefly (in no more than 250 words) describe your company’s products and services:
Distribution Plan - Briefly describe your company’s Distribution Plan. (SPS Supplier Application Instructions Section 7)
Darfur Contracting Act - Has your company conducted business outside of the United States in the last 3 years? If yes, complete the Darfur Contracting Act form per the SPS Supplier Application Instructions Section 8.
Yes or No
Iran Contracting Act #1 - In accordance with the Iran Contracting Act, does Supplier certify it is not on the current list of persons engaged in investment activities in Iran created by DGS? (SPS Supplier Application Instructions Section 10)
Yes or No response only
Iran Contracting Act #2 - In accordance with the Iran Contracting Act, does Supplier certify it is not a financial institution extending $20 million or more in credit to another person/vendor, for 45 days or more, if that other person/vendor will use the credit to provide goods or services in the energy sector in Iran and is identified on the current list of person engaged in investment activities in Iran created by DGS? (SPS Supplier Application Instructions Section 10)
Yes or No response only
Iran Contracting Act #3 - Has Supplier obtained an exemption from the certification requirement under the Iran Contracting Act? (SPS Supplier Application Instructions Section 10)
Yes or No response only If yes, submit documentation demonstrating the exemption approval with the application submission.
GenAI - Does your company intend to provide GenAI as a deliverable to the State or 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.
(SPS Supplier Application Instructions Section 12)
Yes or No
CAL-Card Payment - Will the Supplier allow the use of CAL-Card in a resulting contract? (SPS Supplier Application Instructions Section 18)
Yes or No response only
PART III: Terms and Conditions
Applicants are required to read through the terms and conditions associated with this supplier application for State Price Schedule and indicate agreement below.
|_| I have read and agree to the State Price Schedule terms and conditions located on CMU 09-03a.
PART IV: Signature
By signing this application, your company acknowledges that the person signing below is an authorized representative for your company and the information provided is true and accurate. Your company further agrees to abide by the terms and conditions set forth within this application. Failure to abide by these terms and conditions may result in the removal of your company from the State Price Schedule approved supplier listing.
| Name/Title: |
Signature:
| Date: |
PART IV: Approval (CALHR Use Only)
| Analyst Name: |
| Date Received: |
| Action: |
| |_| Approved |_| Denied |
Signature:
| Date: |
Comments/Notes:
File details come from the government source that posted it. Updated .