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EXHIBIT 1 State of Califomla—Department ofGeneral Service;Procurement Division GSPD-n5-105 (REV 0/09) In,tr.dmo BIDDER DECLARATION Instructions All prime bidders (the firm submitting the bid) must complete the DidderDedaration. la, Identify all currentcertificatlons issued by the State of California. If the pdmebidder has no (alffomfa antificationts),check the line labeled"None'and proceed to Item AZ. If the prime bidder possesses one or more of the following certifications, enter the applicable certifications) on the line: Mlcrobusiness(MB) • Small Business(SB) Nonprofit Veteran Service Agency (NVSA) Disabled Veteran Business Enterprise (DVBE) t.b. Mark either"Yes"or"No"to identify whether subcontractors will be used for the contract if the response is 'No'proceed to Item ff1.e. 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 ME,58, NVSA,and/or DVBE must Provide commercially meful function as defined In Military and Veterans Code Section 999 for DVBEs and Government Code Section 14837(d)(4)(A) for small/ micro nsimases. Bids must propose that certified bidders provide a commercially useful function for the resuhing 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, Note:A subcontractor is any person, firm, corporation, or organization contracting to perform part of the prime's contract. t.e This Item Is only to be completed by businesses certified by California as DVBE. (1) Declare whether the prime bidder is a broker or agent by marking either"Yes"or"Noi The Military and Veterans Code Seaton 999.2(b) defines"broker"or"agent"asa certified DVBE contractor or subcon- tractor that does not have title, possession, ontrol,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. (d) 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 act bidding rental equipment mark"N/A'for"not applicable." 3. If no subcontractors are proposed, do not complete the table. Bead 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. IT necessary, attach additional pages and complete the"Page. of --_"accordingly. g. (continued) Column Labels SubrantractorName,Confactiferson,Phone Number&Fear Number —List each elementfarall subcontractors, Subrontractorilddress&EmailAddress—Enter the address and ifavailable,an Email address. CACertification 1418,SR,WA, DrREOrNone)—Ifthe subcontractor possesses current State of Califomla certifiction(sl,verifyonihlswebsite fwwwenmc rend dos ra nnvl. WockyeAormedargoods provldedforthistonmact—Identity the distinct element of work contained in the contract to be perfumed or the goods to be provided by each subcontractor. Certified subcontractors must provide commercially useful function for the contact. ISee paragraph i.b above for non citations regarding the definition of commercially useful function.) If a certified subcontractor is further subcomract- inga 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. Cenespo ndfng %ofbidprlca—Enter the corresponding percentage of the total bid pdceforthe goods and/or services to be provided by each subcontractor. Do not enter a dollar amount. GaadSmmMrSb?--Provide a response for each subcontractor listed. Enter either"Yes"or"No"to indicate that die prime bidder has verified that the subcontractor(s) is in good standing for all of the following: Possesses valid licensu(s) for anylicanse(s) or permits required by the solicitation or bylaw 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 Possesses valid State of California certification(sl if claiming MB,SB, NVSA,and/or DVBE status Si%Rental?—This pertalosto theappllcabilkyofrental equipment. Based on the following parameters, enter either"N/A"(not applicable); "Yes"or"No"far each subcontractor listed. Enter"N/Welthe: Subcontractor is NOT DVDE (regardless of whether or not rental equipment is provided bythe subcontractor) or Subcontractor is NOT providing rental equipment (regardless of whether or net subcontractor b a DVBE) EnterWes"Ifthe subcontractor is a California certified DVBE providing rental equipment and the subcontractor owns at least 51 % ofthe rental equipment (quantity and value) It will be providing for the contract. Enter" Nu' if the subcontractor is a California emitted CIVET providing rental equipment but the sub- contractor does NOT ova 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"Pagelof_-__"accordingly. 25G-41