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

More documents

Recommendations

Info

RFP Appendix D, Exhibit 6 STATEWIDE FINGERPRINT IMAGING SYSTEM FAMILIARITY WITH THE COUNTY LOBBYIST ORDINANCE CERTIFICATION The Proposer certifies that: 1) it is familiar with the terms of the County of Los Angeles Lobbyist Ordinance, Los Angeles Code Chapter 2.160; 2) that all persons acting on behalf of the Proposer organization have and will comply with it during the proposal process; and 3) it is not on the County’s Executive Office’s List of Terminated Registered Lobbyists. Signature: _________________________________ Date: _________________ 178
RFP Appendix D, Exhibit 7-A Use this form for County Solicitations which are not subject to the Federal Request for Local SBE Preference Program Consideration and CBE Firm/Organization Information Form INSTRUCTIONS: All proposers/bidders responding to this solicitation must complete and return this form for proper consideration of the proposal/bid. I. LOCAL SMALL BUSINESS ENTERPRISE PREFERENCE PROGRAM: FIRM NAME: _____________________________________________________________________ COUNTY VENDOR NUMBER:_____________ As a Local SBE, certified by the County of Los Angeles, Internal Services Department, I request this proposal/bid be considered for the Local SBE Preference. Attached is my Local SBE Certification letter issued by the County II. FIRM/ORGANIZATION INFORMATION: The information requested below is for statistical purposes only. On final analysis and consideration of award, contractor/vendor will be selected without regard to race/ethnicity, color, religion, sex, national origin, age, sexual orientation or disability. Business Structure:Sole ProprietorshipPartnership CorporationNon-ProfitFranchise Other (Please Specify) ___________________________________________________ Total Number of Employees (including owners): Race/Ethnic Composition of Firm. Please distribute the above total number of individuals into the following categories: Race/Ethnic Composition Owners/Partners/ Associate Partners Managers Staff Male Female Male Female Male Female Black/African American Hispanic/Latino Asian or Pacific Islander American Indian Filipino White III. PERCENTAGE OF OWNERSHIP IN FIRM: Please indicate by percentage (%) how ownership of the firm is distributed. Black/African American Hispanic/ Latino Asian or Pacific Islander American Indian Filipino White Men % % % % % % Women % % % % % % IV. CERTIFICATION AS MINORITY, WOMEN, DISADVANTAGED, AND DISABLED VETERAN BUSINESS ENTERPRISES: If your firm is currently certified as a minority, women, disadvantaged or disabled veteran owned business enterprise by a public agency, complete the following and attach a copy of your proof of certification. (Use back of form, if necessary.) Agency Name Minority Women Disadvantaged Disabled Veteran Expiration Date V. DECLARATION: I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE ABOVE INFORMATION IS TRUE AND ACCURATE. Print Authorized Name Authorized Signature Title Date 179 Revised 10/03/11
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:
Page 123 and 124:
Page 125 and 126:
Page 127 and 128: 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 and 172: EXHIBITS APPENDIX D REQUIRED FORMS
Page 173 and 174: APPENDIX D REQUIRED FORMS RFP Appen
Page 175 and 176: APPENDIX D REQUIRED FORMS STATEWIDE
Page 177: STATEWIDE FINGERPRINT IMAGING SYSTE
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?