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EXHIBIT 1 State of California —Department ofGeneral 5ervmc Procurement Division GSPD-05-105(REV 0/09)hi,uuctlore BIDDER DECLARATION Instructions All prime bidders (the firnnsubmittingthe bid) must complete the Bidder Declaration. I.e. Identify all current certifications issued by theState of California. Ifthe prime bidder has no California certocarion(s),check the line labeled "None"and proceed to hem Q. If the prime bidder possesses one or more of the following certifications, enter the aroad icable certificatlonls) on the IIn id Microbusmess(MB) Small Business (50) Nonprofit Veteran Service Agency (NV5A) Disabled Veteran Business Enterprise (Oft 1.b. Mark either"Yes"or"No"to Identify whether subcontractors will be used for the contract, lithe response is No, proceed to Item 41.c. If°YeyenterOR the line the distinct element of workcontamed 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 MB, SO, NVSA, and/or DVBE must provide a commercially useful function as defined In Military and Veterans (ode Section 999 for Di and Government Code Section 14837(d)(4)(A) for small/ microbusinesses. Bids must propose that certified bidders provide commercially useful function for the resulting contract or the bid will be deemed non -responsive and rejected by the State. For questions regarding the solicitation, contact the procurement official identified is the solicitation. Nate;A submotraorder tsamy person, Arm, corporation, a r organization contracting to perform part of the prime's contract t.c. This item is onlyto be completed by businesses certified by California as a DVBE. (1) Dedarewhether Ore prime bidder is a broker or agent by marking either"14s"or"Ne, The Military and Veterans (ode Section 999.2 (b) defines"brokefbr"agent"asa certified DVBE contractor or subcon- Iractorthat does not have title, possession, coand, and risk of loss of inatelials,sup pllei services, or equipment provided to as awarding department, unless one or more of the dImbled 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) Ifbidding rental equipment, mark ether"Yes"ar"No"to identify if the prime bidder owns at least5l% of the equipment provided (quantity and value). If not bidding rental equ'pmentmark"N/A" for"not applicable.' P. If no subcontractors are proposed, do not complete the table. Bead the rertifiation at the bottom of the form and complete 'Page_,__of,--"on the form. If subcontractors will be used, complete the table listing all subcontractors. Nnecessarµattach additional pages and complete the"Page _of „_,-"accordingly. 2. fmndnaed) Column Labels SubcontractorNamG ContaRPerson, Phone Nundou fmrNumber--List each element for all subcontractors. SubconmattorAddresiEmailAddress—Enterthe address and if available, an Email address. CA Certifica ion^SB,NASA, DVBEarNone)—If the subcontractor possesses a Covent State of California cmtification(s),verify on thiswebshe (www.eammren l dos ra aovl. Warkperformedargoadspravtdedferthis contrace--Identify the distinct element of work contained in the contract to be performed or the goods to be provided by each subcontractor. Certified subcontractors must provide a commercially useful function for the contract. (Seeparagraph I,b above for code citations regarding the definition of commercially useful function) If (erdfled subcontractor Is further subcontract- ing a greater portion ofthewods 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 %ofhidierire—Enterthe corresponding percentage of the total bid price for the goods and/or services to be provided by each subcontractor. Do not enter a dollar amount. GoodStanding,>—Provide a response for each subcontractor listed. Enter either"Yes"or"No to indicate that the prime bidder has verified that the subromractor(s) is in good standing for all of the following: Possesses valid Kernels) for any licenses) 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 ofCallfamm Suretaryof State to be In good standing Possesses valid State of California certi caion(sl if claiming MB,SB,NVSA,and/or DVBE status 51%Renmf?—This pertains tothe applicability of rental equipment. Based on the following parameters, enter either"N/A"Inotapplicahle),"Yes"or"No"foreach subcontractor listed. Enter"N/A"iithe: Subcontractor is NOT a DVBE (regardless of Whether Or not rental equipment is provided bythe subcontractor) or • Subcontractor is NOT providing rental equipment (regardless ofwhetheror not subcontractor Ise DVBE) Enteir"Yes"if the subcontractor Is a California certified DVBE providing rental equipmentand the subcontractor owns at kast5190 ofthe rental equipment (quantity and value) itwlil be nodding for the contract. Enter"No"If the subcontractor is a California certified DVBE providing rental equipment but the sub- contractor does NOT own at least 51% of the rental equipment (quantity and value) it will be providing. Road the certification at the bottom of the page and complete the"Page _of_"accordingly. 25G-43