Bidder Declaration Form PDF Details

When it comes to online auctions, the bidder declaration form is an important document. This form allows the auction company to verify the identity of the person bidding on items and to protect both the company and the bidder. By completing and submitting this form, you are providing consent for the auction company to obtain personal information about you. Be sure to read and understand all of the terms and conditions before submitting your form. Thanks for your interest in our auctions!

QuestionAnswer
Form NameBidder Declaration Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesform gspd 05, 05 105, state of california bidder declaration form, gspd105

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State of California—Department of General Services, Procurement Division

Solicitation Number_____________________

GSPD–05–105 (REV 08/09)

 

 

 

BIDDER DECLARATION

1.Prime bidder information (Review attached Bidder Declaration Instructions prior to completion of this form):

a.Identify current California certification(s) (MB, SB, NVSA, DVBE): ____________ or None ____ (If “None”, go to Item #2)

b.Will subcontractors be used for this contract? Yes ___ No ___ (If yes, indicate the distinct element of work your firm will perform in this contract e.g., list the proposed products produced by your firm, state if your firm owns the transportation vehicles that will deliver the products to the State, identify which solicited services your firm will perform, etc.). Use additional sheets, as necessary.

_________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________

c. If you are a California certified DVBE:

(1) Are you a broker or agent? Yes

___

No

___

 

(2)If the contract includes equipment rental, does your company own at least 51% of the equipment provided in this contract (quantity and value)? Yes ___ No ___ N/A ___

2.If no subcontractors will be used, skip to certification below. Otherwise, list all subcontractors for this contract. (Attach additional pages if necessary):

Subcontractor Name, Contact Person, Phone Number & Fax Number

Subcontractor Address

& Email Address

CA Certification (MB, SB, NVSA, DVBE or None)

Work performed or goods provided

for this contract

Corresponding % of bid price

Good

Standing?

51%

Rental?

CERTIFICATION: By signing the bid response, I certify under penalty of perjury that the information provided is true and correct.

Page_____ of _____

This item is only to be completed by businesses certified by California as a DVBE.
All prime bidders (the firm submitting the bid) must complete the Bidder Declaration. 1.a.
1.c.
1.b.
State of California—Department of General Services, Procurement Division GSPD–05–105 (REV 08/09) Instructions

BIDDER DECLARATION Instructions

Identify all current certifications issued by the State of California. If the prime bidder has no California

 

 

2. (CONTINUED) Column Labels

 

 

Subcontractor Name, Contact Person, Phone Number & Fax Number—List each element for all

certification(s), check the line labeled “None” and proceed to Item #2. If the prime bidder possesses one or

 

 

subcontractors.

more of the following certifications, enter the applicable certification(s) on the line:

 

 

Subcontractor Address & Email Address—Enter the address and if available, an Email address.

•฀

Microbusiness฀(MB)

 

 

 

 

 

 

•฀

Small฀Business฀(SB)

 

 

CA Certification (MB, SB, NVSA, DVBE or None)—If the subcontractor possesses a current State of

•฀

Nonproit฀Veteran฀Service฀Agency฀(NVSA)

 

 

California certification(s), verify on this website (www.eprocure.pd.dgs.ca.gov).

•฀

Disabled฀Veteran฀Business฀Enterprise฀(DVBE)

 

 

Work performed or goods provided for this contract—Identify the distinct element of work contained

 

 

 

 

Mark either “Yes” or “No” to identify whether subcontractors will be used for the contract. If the response is

 

 

in the contract to be performed or the goods to be provided by each subcontractor. Certified subcontractors

“No”, proceed to Item #1.c. If “Yes”, enter on the line the distinct element of work contained in the contract

 

 

must provide a commercially useful function for the contract. (See paragraph 1.b above for code citations

to be performed or the goods to be provided by the prime bidder. Do not include goods or services to be

 

 

regarding the definition of commercially useful function.) If a certified subcontractor is further subcontract-

provided by subcontractors.

 

 

ing a greater portion of the work or goods provided for the resulting contract than would be expected by

Bidders certified as MB, SB, NVSA, and/or DVBE must provide a commercially useful function as defined in

 

 

normal industry practices, attach a separate sheet of paper explaining the situation.

 

 

 

 

Military and Veterans Code Section 999 for DVBEs and Government Code Section 14837(d)(4)(A) for small/

 

 

Corresponding % of bid price—Enter the corresponding percentage of the total bid price for the goods

microbusinesses.

 

 

and/or services to be provided by each subcontractor. Do not enter a dollar amount.

Bids must propose that certified bidders provide a commercially useful function for the resulting contract or

 

 

Good Standing?—Provide a response for each subcontractor listed. Enter either “Yes” or “No” to indicate

the bid will be deemed non-responsive and rejected by the State. For questions regarding the solicitation,

 

 

that the prime bidder has verified that the subcontractor(s) is in good standing for all of the following:

contact the procurement official identified in the solicitation.

 

 

฀ •฀

Possesses฀valid฀license(s)฀for฀any฀license(s)฀or฀permits฀required฀by฀the฀solicitation฀or฀by฀law

 

 

 

 

Note: A subcontractor is any person, firm, corporation, or organization contracting to perform

 

 

•฀ If฀฀a฀corporation,฀the฀company฀is฀qualiied฀to฀do฀business฀in฀California฀and฀designated฀by฀the฀State฀฀

part of the prime’s contract.

 

 

 

of California Secretary of State to be in good standing

 

 

 

 

•฀ Possesses฀valid฀State฀of฀California฀certiication(s)฀if฀claiming฀MB,฀SB,฀NVSA,฀and/or฀DVBE฀status

(1) Declare whether the prime bidder is a broker or agent by marking either “Yes” or “No”. The Military and

 

 

51% Rental?—This pertains to the applicability of rental equipment. Based on the following parameters,

 

 

 

 

 

Veterans Code Section 999.2 (b) defines “broker” or “agent” as a certified DVBE contractor or subcon-

 

 

enter either “N/A” (not applicable),“Yes” or “No” for each subcontractor listed.

 

 

 

 

 

 

tractor that does not have title, possession, control, and risk of loss of materials, supplies, services, or

 

 

Enter “N/A” if the:

 

equipment provided to an awarding department, unless one or more of the disabled veteran owners

 

 

 

 

 

•฀

Subcontractor฀is฀NOT฀a฀DVBE฀(regardless฀of฀whether฀or฀not฀rental฀equipment฀is฀provided฀by฀the฀฀

 

has at least 51-percent ownership of the quantity and value of the materials, supplies, services, and of

 

 

 

subcontractor) or

 

each piece of equipment provided under the contract.

 

 

 

 

 

 

•฀ Subcontractor฀is฀NOT฀providing฀rental฀equipment฀(regardless฀of฀whether฀or฀not฀subcontractor฀is฀a฀฀

(2) If bidding rental equipment, mark either “Yes” or “No” to identify if the prime bidder owns at least 51%

 

 

 

DVBE)

 

of the equipment provided (quantity and value). If not bidding rental equipment, mark “N/A” for “not

 

 

Enter “Yes” if the subcontractor is a California certified DVBE providing rental equipment and the

 

applicable.”

 

 

 

 

 

subcontractor owns at least 51% of the rental equipment (quantity and value) it will be providing for

 

 

 

 

 

 

 

 

the contract.

2. If no subcontractors are proposed, do not complete the table. Read the certification at the bottom of the

 

 

Enter “No” if the subcontractor is a California certified DVBE providing rental equipment but the sub-

form and complete “Page ___ of ___” on the form.

 

 

 

 

contractor฀does฀NOT฀own฀at฀least฀51%฀of฀the฀rental฀equipment฀(quantity฀and฀value)฀it฀will฀be฀providing.

If subcontractors will be used, complete the table listing all subcontractors. If necessary, attach additional

 

 

 

 

 

 

pages and complete the “Page ___ of ___” accordingly.

 

 

 

 

 

 

Read the certification at the bottom of the page and complete the “Page ___ of ___” accordingly.

 

 

 

 

 

 

 

 

 

 

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