Laserfiche WebLink
EXHIBIT 1 <br />Stote of callfornia—department of General services, Procurement aivlslon <br />GSPa-05-105 (REV 09/09) <br />BIDDER DECLARATION <br />Solldtatlon Number_ <br />1. Prime bidder information (Review attached Bidder Declaration Instructions prior to completion of this form): <br />a. Identify current California certification(s)(MB,SO, NVSA,DVBE): or None fa (If 'None, go to item #2) <br />b. Will subcontractors be used for this contract? Yes ONO ❑ (if yes,(ndlcate the distinct element of work,your firmfirm will perform in this contract <br />e.g., list the proposed products produced by your firm,state if your fine owns the transportation vehicles that will deliver the products to the State, <br />Identify which solicited services your firm will perform, etc.). Use additional sheets, as necessary. <br />c. IfyouareaCallforniacertifed4VBC: (1)Areyouabroker oragent? Yes ONo❑ <br />(2) if the contract includes equipment rental, does r co any own at least 51 % of the equipment <br />provided Inthis contract (quantityandvalue)?Yean NIA <br />2. If no subcontractors will be used, skip to certification below. Otherwise, list all subcontractors for this contract. (Attach additional pages If necessary): <br />SubcontractorNane,ContactPers9n, <br />Phone Number&Fax Number <br />SubcontractorAddress <br />&Email Address <br />CACertkadan(M13,S11, <br />NVSAMVKorNone) <br />Work performed or goods pfovided <br />ior thk contract <br />Orresponding <br />%of bidprlee <br />Good <br />Standing? <br />5194 <br />Rental? <br />0% <br />❑ <br />C% <br />0% <br />CERTIFICATION: By signing the bid response,] certify under penalty of perjury that the information provided is true and correct, <br />page of_ <br />