RFP Attachments-12: Federal Liaison Officer (CA Dept of Education)

California Department of Education
Request for Proposal (RFP) Number CN120281
ATTACHMENT 1
Page 1 of 2 BIDDER CERTIFICATION SHEET Only an individual who is authorized to bind the proposing firm
contractually shall sign the Bidder Certification Sheet. The signature must
indicate the title or position that the individual signing holds in the
firm. The Bidder Certification Sheet must be signed and returned along with
all the "required attachments" as an entire package with original
signatures. The proposal must be transmitted in a sealed envelope in
accordance with RFP instructions. Do not return Proposal Requirements and Information (pages 11 through 19),
Attachment 5, California State Travel Program, Attachment 6, Intent to
Submit a Proposal, nor the "Sample Agreement" at the end of this RFP. A. Our all-inclusive proposal is submitted under sealed envelope and
marked "Cost Proposal - Do Not Open" as specified in RFP Section 5.4. B. I, the bidder, acknowledge that all rights to any hard copy/electronic
material report or other material or application developed by the
bidder or its subcontractors in connection with his agreement shall be
the sole property of CDE. C. I, the bidder, give my assurance on the use of our true corporate
name. D. I, the bidder, give my assurance of our commitment to conduct all
tasks and activities specified in the RFP Section 3. Scope of the
Project. E. I, the bidder, give my assurance on acceptance of the contract terms
and requirements as specified in RFP and no additional contract terms
or requirements have been added or substituted. F. I, the bidder, give my assurance that no additional contract terms or
requirements have been added or substituted, and no modifications or
corrections to stated contract terms and requirements can be made. G. I, the bidder, acknowledge that upon proposal opening, all documents
submitted in response to this RFP will become the property of the
State of California, and will be regarded as public records under the
California Public Records Act (Government Code 6250 et seq.) and
subject to review by the public. H. I, the bidder, acknowledge that our employees (pertinent to this RFP)
and all of our subcontractors, will complete, sign, date and return
the required Conflict of Interest and Confidentiality Statement
(Attachment 10) form, as a condition of receipt of the contract. I. I, the bidder, acknowledge that our employees and all of our
subcontractors and each of their employees engaging in services to CDE
related to this RFP and the resulting contract, will complete, sign
and date the required California Department of Education Computer
Security Policy (Attachment 11) form, which must be kept on file by
the bidder and made available to the CDE upon request, as a condition
of receipt of the contract.
J. I, the bidder, certify that all required attachments are included with
this certification sheet. K. I, the bidder, certify that the signature affixed hereon and dated
certifies compliance with all the requirements of this proposal
document. The signature below authorizes the verification of this
certification. L. I, the bidder, certify that the signature and date affixed hereto
certifies that this proposal is firm offer for a 90-day period.
California Department of Education
Request for Proposal (RFP) Number CN120281
ATTACHMENT 1
Page 2 of 2
An Unsigned Proposal/Proposer Certification Sheet May Be Cause for Proposal
Rejection |1. Company Name |2. Telephone Number |2a. Fax Number |
| |( ) |( ) |
|3. Address |
| |
|Indicate your organization type: |
|4. Sole Proprietorship |5. Partnership |6. Corporation |
|Indicate the applicable employee and/or corporation number: |
|7. Federal Employee ID No. | |8. California | |
|(FEIN) | |Corporation No. | |
|9. Indicate applicable license and/or certification information: |
| |
| |
|10. Bidder's Name (Print) |11. Title |
| | |
|12. Signature |13. Date |
| | |
|14. Are you certified with the Department of General Services, Office of |
|Small Business Certification and Resources (OSBCR) as: |
|a. California Small Business |b. Disabled Veteran Business Enterprise |
|Enterprise |Yes No |
|Yes No |If yes, enter your service code below: |
|If yes, enter certification | |
|number: | |
| | | | | | |
|NOTE: A copy of your Certification is required to be included if either of|
|the above items is checked "Yes". |
|Date application was submitted to OSBCR, if an | |
|application is pending: | |
California Department of Education
Request for Proposal (RFP) Number CN120281
ATTACHMENT 2
Page 1 of 1 TECHNICAL PROPOSAL
STAFFING LABOR HOURS WORKSHEET
FISCAL YEAR ___________________ |NAME |TITLE |TASK 1 |TASK 2 |TASK 3 |TASK 4 |TOTAL # OF|FTE % |
| | |# of |# of |# of |# of |HOURS | |
| | |hours |hours |hours |hours | | |
| | | | | | | | |
| | | | | | | | |
| | | | | | | | |
| | | | | | | | |
| | | | | | | | |
| | | | | | | | |
| | | | | | | | |
| | | | | | | | |
| | | | | | | | |
| | | | | | | | |
| | | | | | | | |
| | | | | | | | |
| | | | | | | | |
|TOTAL HOURS | | | | | | | | California Department of Education
Request for Proposal (RFP) Number CN120281
ATTACHMENT 3
Page 1 of 4 COST WORKSHEET
FISCAL YEAR _____________
I. LABOR COSTS |NAME |TITLE |HOURLY RATE |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
|GRAND TOTALS | | |
California Department of Education
Request for Proposal (RFP) Number CN120281
ATTACHMENT 3
Page 3 of 4 COST WORKSHEET
FISCAL YEAR ____________ III. OTHER DIRECT COSTS/INDIRECT COSTS |OTHER DIRECT COSTS | | | |
|DETAILED DESCRIPTION |MONTHLY RATE |NUMBER OF MONTHS |TOTAL COST |
| | | | |
| | | | |
| | | | |
|