CALIFORNIA, STATE OF - WORKFORCE DEVELOPMENT BOARD

Home Browse Search

State of California —Department of General Services, Procurement Division GSPD-05-105 mW 00/09) Instructions BIDDER DECLARATION Instructions All prime bidders (the firm submitting the bid) must complete the Bidder Declaration. 1.a, identify all current certifications issued by the State of(al ifornia. If the prime bidder has no California certification(s),check the line labeled"None"and proceed to Item 82. If the prime bidder possesses one or more of the following certifications, enter the applicable certification IS) on the line: Mlcrobusiness (MB) • Small Business(SB) Nonprofit Veteran Service Agency (NVSA) • Disabled Veteran Business Enterprise(DVBE) 1.b. Mark either"Yes"or"No"to Identify whether subcontractors will be used for the contract. lithe response is "No"proceed to Item n.c. If"Yes"enter on the line Indistinct element of work contained in the contract to be performed orthe goodsto be provided bythe prime bidder. Do not mcludegoods or services to be provided by subcontractors, Bidders certified as MB,SB, NVSA,and/or DVBE mustprovide a crmmeniallyuseful functian as defined in Military and Veterans Code Section 999 for DOES and Government Code Section 14837(d)(4)(A) for small/ mlcrobusinesses. Bids most propose that certified bidden providea commercially useful function for the resulting contractor the bid will be deemed non -responsive and rejected bytheState. For questions regarding the solicitation, contact the promrementoffidal identified In thesolicimtion. Note: A subcontractor Is any person,firm, corporation, ororganization contracting to perform part of the prime's contract. i.c. This item is only to becomplefid by businesses certified by Califomia as a DVBE. (1) 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 contraetororsubcon- tractor 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. (2) If bidding rental equipment, mark either"Yes'or"No'to Identify if the prime bidder owns at least 5190 of the equipment provided (quantity and value). If not bidding rental equipment,mark'111Wfor"not applicable." 2. 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, If subcontractors will be used, complete the table listing all subcontractors. If necessary, attach additional pages and complete the"Page —of _"accordingly. 2. (continued) Column Labels Subcontractor Name, Contact Person, Phone Number&fax Number —List each element for all subcontractors. Subcontractor Address& EmoffAddress—Enter the address and if available, an Email address. CA Certification hW8,SB,NVSA, DVBEorNone)-if the subcontractor possesses a current State of California certification(s), verify onthiswebsite (www.earocore od dos ca novl. Work performed orgoodsprovidedfor this conbact—Identify the d Istinct element of work contained in the contract to be performed or the goods to be provided by each subcontractor. Certified subcontractors most provide a commercially useful function for the contract. (See paragraph 11 above for code citations regarding the definition of (commercially useful function.) If a certified subcontractor is further Subcontract- ing 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. Corresponding %ofbidpdre—Enterthe corresponding percentage of the total bid price for the goods and/or services to be provided by each subcontractor. Do not enter dollar amount. Cood5tanding7—Pruvidea response for each subcontractor listed. Enter either"Ye5"or o"to Indicate that the prime bidder has verified that the subrontractor(s) IS In good standing for all of the following: Possesses valid license(s) for any licensers) or permits required bythe solicitation or bylaw If a corporation, the company is qualified to do business In California and designated by the State of(alifornia Secretary of State to be in good standing Possesses valid State of California tendril if cla mainly MB, SO, NVSA,and/or DVBE status 51%Bemed?—Thispertains to the applicabllityof rental equipment. Based on the following parameters, enter either"N1A" (not applicable),"Yee"or"Na"far each subcontractor listed. Enter"N/A"if the: Subcontractor is NOT DVBE (regardless of whether or not rental equipment is provided bythe subcontractor) or Subcontractor is NOT providing rental equipment (regardless of whetheror not subcontractor is a DVBE) Enter"4es"if the subcontractor Is a California certified DVBE providing rental equipment and the subcontractor owns atleast 51%of the rental equipment (quantity and value) It will be providing for the contract, Enter"No"if the subcontractor is California certified DVBE providing rental equipment but the sub- contractordoes NOT own at least 51ar 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.