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

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RFP Appendix D, Exhibit 19 OF LOS ANGELES STATEWIDE FINGERPRINT IMAGING SYSTEM LIVING WAGE PROGRAM Plan Format - MODEL CONTRACTOR STAFFING PLAN COMPANY NAME COMPANY ADDRESS PROJECT DEPARTMENT NAME FACILITY OR LOCATION HRS. HEALTH COUNTY NON- CNTY EMPLOYEE POSITION WORK WORKED FULL HRLY INS. MON TUE WED THUR FRI SAT SUN TOTAL TOTAL HIRE TERMINATION TIME/ NAME TITLE ROVER (S) SCHEDULE PER DAY PART TIME RATE YES/NO HRS HRS HRS HRS HRS HRS HRS HRS HRS DATE DATE 194
RFP Appendix D, Exhibit 20 TRANSITIONAL JOB OPPORTUNITIES PREFERENCE APPLICATION COMPANY NAME: COMPANY ADDRESS: CITY: STATE: ZIP CODE: I hereby certify that I meet all the requirements for this program: My business is a non-profit corporation qualified under Internal Revenue Services Code - Section 501(c)(3) and has been such for 3 years (attach IRS Determination Letter); I have submitted my three most recent annual tax returns with my application; I have been in operation for at least one year providing transitional job and related supportive services to program participants; and I have submitted a profile of our program; including a description of its components designed to help the program participants, number of past program participants and any other information requested by the Contracting department. I declare under penalty of perjury under the laws of the State of California that the information herein is true and correct. PRINT NAME: TITLE: SIGNATURE: DATE: REVIEWED BY COUNTY: SIGNATURE OF REVIEWER APPROVED DISAPPROVED DATE 195
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DEPARTMENT OF PUBLIC SOCIAL SERVICE
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REQUEST FOR PROPOSALS STATEWIDE FIN
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RFP APPENDIX A, SAMPLE CONTRACT STA
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RFP APPENDIX B, STATEMENT OF WORK (
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RFP, APPENDIX C [CONTRACT, ATTACHME
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SOW Exhibit B-2 RFP, APPENDIX C [CO
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RFP Appendix C, RFP, APPENDIX C SOW
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RFP Appendix C, RFP, APPENDIX C SOW
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Page 143 and 144: RFP, APPENDIX C [CONTRACT, ATTACHME
Page 171 and 172: EXHIBITS APPENDIX D REQUIRED FORMS
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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: RFP Appendix D, Exhibit 18 Page 3 o
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
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