(RFP) - Terminal Operator Services for the Statewide Fingerprint ...

More documents

Recommendations

Info

APPENDIX D REQUIRED FORMS RFP Appendix D, Exhibit 1 Page 1 of 2 PROPOSER’S ORGANIZATION QUESTIONNAIRE/AFFIDAVIT Please complete, date and sign this form and place it as the first page of your proposal. The person signing the form must be authorized to sign on behalf of the Proposer and to bind the applicant in a Contract. 1. If your firm is a corporation or limited liability company (LLC), state its legal name (as found in your Articles of Incorporation) and State of incorporation: ______________________________________________ ____________ ______________ Name State Year Inc. 2. If your firm is a limited partnership or a sole proprietorship, state the name of the proprietor or managing partner: ____________________________________________________________________________ 3. If your firm is doing business under one or more DBA’s, please list all DBA’s and the County(s) of registration: _____________________________________ _________________ _____________ Name County of Registration Year became DBA 4. Is your firm wholly or majority owned by, or a subsidiary of, another firm? ____ if yes, Name of parent firm: __________________________________________________________ State of incorporation or registration of parent firm: ___________________________________ 5. Please list any other names your firm has done business as within the last five (5) years. __________________________________ Name __________________________________ Name _____________________________ Year of Name Change ___________________ __________ Year of Name Change 6. Indicate if your firm is involved in any pending acquisition/merger, including the associated company name. If not applicable, so indicate below. ____________________________________________________________________________ 172
APPENDIX D REQUIRED FORMS RFP Appendix D, Exhibit 1 Page 2 of 2 Proposer acknowledges and certifies that it meets and will comply with all of the Minimum Mandatory Requirements listed in Paragraph 1.4 - Minimum Mandatory Requirements, of this Request for Proposal, as listed below. Check the appropriate boxes: Yes No _____ years’ experience, within the last ___ years Proposer further acknowledges that if any false, misleading, incomplete, or deceptively unresponsive statements in connection with this proposal are made, the proposal may be rejected. The evaluation and determination in this area shall be at the Director’s sole judgment and his/her judgment shall be final. Proposer’s Name: ____________________________________________________________________________ Address: ____________________________________________________________________________ ____________________________________________________________________________ E-mail address: _____________________________ Telephone number: _________________ Fax number: ______________________________ On behalf of _______________________________ (Proposer’s name), I ______________ (Name of Proposer’s authorized representative), certify that the information contained in this Proposer’s Organization Questionnaire/Affidavit is true and correct to the best of my information and belief. _____________________________________ Signature _________________________________ Internal Revenue Service Employer Identification Number ____________________________________________________________________________ Title California Business License Number _________________________________________ ________________________________ Date County WebVen Number ..................... 173
Page 1 and 2:
DEPARTMENT OF PUBLIC SOCIAL SERVICE
Page 3 and 4:
REQUEST FOR PROPOSALS STATEWIDE FIN
Page 5 and 6:
Page 7 and 8:
Page 9 and 10:
Page 11 and 12:
Page 13 and 14:
Page 15 and 16:
Page 17 and 18:
Page 19 and 20:
Page 21 and 22:
Page 23 and 24:
Page 25 and 26:
Page 27 and 28:
Page 29 and 30:
Page 31 and 32:
Page 33 and 34:
Page 35 and 36:
Page 37 and 38:
Page 39 and 40:
Page 41 and 42:
Page 43 and 44:
Page 45 and 46:
Page 47 and 48:
Page 49 and 50:
Page 51 and 52:
Page 53 and 54:
RFP APPENDIX A, SAMPLE CONTRACT STA
Page 55 and 56:
Page 57 and 58:
Page 59 and 60:
Page 61 and 62:
Page 63 and 64:
Page 65 and 66:
Page 67 and 68:
Page 69 and 70:
Page 71 and 72:
Page 73 and 74:
Page 75 and 76:
Page 77 and 78:
Page 79 and 80:
Page 81 and 82:
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
Page 101 and 102:
Page 103 and 104:
Page 105 and 106:
Page 107 and 108:
Page 109 and 110:
Page 111 and 112:
Page 113 and 114:
Page 115 and 116:
RFP APPENDIX B, STATEMENT OF WORK (
Page 117 and 118:
Page 119 and 120:
Page 121 and 122: RFP APPENDIX B, STATEMENT OF WORK (
Page 129 and 130: RFP, APPENDIX C [CONTRACT, ATTACHME
Page 135 and 136: SOW Exhibit B-2 RFP, APPENDIX C [CO
Page 137 and 138: RFP Appendix C, RFP, APPENDIX C SOW
Page 139 and 140: RFP Appendix C, RFP, APPENDIX C SOW
Page 171: EXHIBITS APPENDIX D REQUIRED FORMS
Page 175 and 176: APPENDIX D REQUIRED FORMS STATEWIDE
Page 177 and 178: STATEWIDE FINGERPRINT IMAGING SYSTE
Page 179 and 180: RFP Appendix D, Exhibit 7-A Use thi
Page 181 and 182: RFP Appendix D, Exhibit 8 STATEWIDE
Page 183 and 184: RFP Appendix D, Exhibit 10 STATEWID
Page 185 and 186: RFP Appendix D, Exhibit 12 STATEWID
Page 187 and 188: RFP Appendix D, Exhibit 14 Medical
Page 189 and 190: RFP Appendix D, Exhibit 16 COUNTY O
Page 191 and 192: RFP Appendix D, Exhibit 18 Page 1 o
Page 193 and 194: RFP Appendix D, Exhibit 18 Page 3 o
Page 195 and 196: RFP Appendix D, Exhibit 20 TRANSITI
Page 197 and 198: APPENDIX E TRANSMITTAL FORM TO REQU
Page 199 and 200: APPENDIX G - 1 NOTICE OF INTENT TO
Page 201 and 202: APPENDIX H Vendor Name: Solicitatio
Page 203 and 204: APPENDIX J LISTING OF CONTRACTORS D
Page 205 and 206: APPENDIX K Page 2 of 5 Title 2 ADMI
Page 207 and 208: Title 2 ADMINISTRATION DETERMINATIO
Page 209 and 210: 209 APPENDIX L
Page 211 and 212: APPENDIX N Page 1 of 2 BACKGROUND A
Page 213 and 214: APPENDIX O Page 1 of 3 Title 2 ADMI
Page 215: APPENDIX O Page 3 of 3 Title 2 ADMI
show all

(RFP) - Terminal Operator Services for the Statewide Fingerprint ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?