STATE OF CALIFORNIA WORKFORCE DEVELOPMENT

Home Browse Search

State of California —Department of General Servioa;Prccurement Division GSPD-05-1 Os(REV 0/09)h Amctlons BIDDER DECLARATION Instructions All prime bidden (the Am aubmittingthe bid) must complete the Bidder Declaration. 1.0. Identify all current nerdficatiom Issued bythe State of California. If the prime bidder has no California cer ificatfon(s),chedi the Iina labeled"None°and proceed to Item 12. If the primebidderpossessesone or more of the following conificadons,enterthe applicable cortifimtlon(s) on the line: • Mlaobusiness(MB) - Small ommess (SID - • NonpfofitVeteran Service Agency (NVSA) • Dlmbled1feteran Business Enterprise(DVBE) 1.b. Mark elther"Yes"or"No"to Identify, whethersubconbactorswill be used for the contract. lithe response is 'No' proceed to Item Al.c. N"Yes;enter on the line the distinct element of work contained in the Contract to be performed ache goods to he provided bythe prime bidder. Do not include goods or services to be provided by subcontractors. Bidders certified as MB, Sit,NYSA,ambor DVRE must provide commercially useful function as defined In Military and Veterans Code Section 999for OVBEsand Government Code Section 14837(d)(4)(A) for small/ microbuslnesses. Bids must. propose that certified bidders provide a commerdally useful function for the resulting contract or the bid will be deemed non -responsive and rejected bythe$late. For questions regarding the solicitation, contact the procurement official identified in thesaildtatian. - Note: A subcontractor Is anyperson,firm, corporation, or organization contracting to perform part of the prime's contract. U, This Item Is onlytobecompleted by businessescerfified by California as a DVBE. (1) Declare whether the prime bidder is a broker or agent by marking eitherWes'er'NoCTheMilitary and Veterans Code Section 9991(b) defines"broker' or "a gent"as a certified DVBE contractor or subcon- bacturthat does not have title,possessian,(ontrohand dsk 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, ser 4ona nd of each place of equipment provided underthe contract, (2) 9bidding rental equipment mark either"Yes'or"No'to identify if the prime bidder owes at least5l% of the equipment provided (quantity and value). If not bidding rental equipment, made"NYA"for"not applicable." 2. line subcontractors am proposed,donot complete the table. Read the certification active bottom of the form and complete"PageTof_''onthe form. If subcontractors will he used, complete the table listing all subcontractors. If necessary, attach additional pages and complete the"Page — of _"accordingly. 2. (continued) Column Labels SubmurfraaorNama,CantactPranon,Phone Number&fa Mumber—Nst each element for all subcontractors. SubwntractorAddress&fnrdifAddiess—Enterthe address and If available, an Email address. CACertification NO, SO, NVSA,DYBPorNone)—If the subcontractor possesses a cement State of California <ertifimtion(s),Verify pnthlswebsbefwww enrocure cad dos (a onvl, Wmkpmformedorgaodsproeldedforthtswnvart—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 commerdally useful functionforthe contract. (See paragraph lb above for code(Itations regarding the definition of commercially usefulfunction.) Na certified subcontractor isfurther subcontract - in g a greater portion of the work or goods provided for the resulting contract than would he expected by normal industry practices, attach a separate sheet of paper explaining the situation. Corresponding %afbidpriw—Enter the corresponding percentage of the total bid price for the goods and/or services tobe provided by each subcontractor. Do not enter dollar amount. GoodStanding2—Provldearesponse for each subcontractor had Enterelther"Yes"or"No"to indicate that the prime bidder has vedfiedthat thesubcommctots) Is In good standing for all of the following: Possesses valid license (s) for any licenses) or permits required by the Solicitation or bylaw If a comoratlon,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 Wild State ofCaliformacertificmlon(s) If claiming 146,513,NVSA,and/or DVBE status Sl%Rentalt—This pertains to theapplicahility of rental equipment. Based on the following parameters, enter either"N/A"(notapplkabie),'Yes'or"No'fineach subcontractor listed. Enter'NWIfthe: Subcontractor is NOT a DVBE (regardless of whether or not rental equipment is provided by the subcontractor) or Subcontractor is NOT providing rental equipment (regardless otwhether or not Subcontractor is DVBE) Enter'Yeelfthe subcontractor Is a California certified DVBE providing remal equipment and the subcontractor owns at least5l% oftherental equipment (quantity and value) It will he providing for The contm(L Enter"No"if the subcontractorba California certified DVBE providing rental equipment but the sub- contractor dos NOT own at least 5l%of the rental equipment (quantity and value) itWill be providing. Read the certification at the bottom of the page and complete the"Page _ of —accordingly.