Form STD.830 "Target Area Contract Preference Act Preference Request for Goods and Services" - California

What Is Form STD.830?

This is a legal form that was released by the California Department of General Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2019;
  • The latest edition provided by the California Department of General Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form STD.830 by clicking the link below or browse more documents and templates provided by the California Department of General Services.

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Download Form STD.830 "Target Area Contract Preference Act Preference Request for Goods and Services" - California

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STD. 830 (REV. 10/2019) (FRONT)
STATE OF CALIFORNIA – DEPARTMENT OF GENERAL SERVICES
T A RG E T A R E A CONT R A CT P R E F E R E N C E A C T
DISPUTE RESOLUTION AND PREFERENCE PROGRAMS
P R E F E R E N C E R E QUES T FOR GOODS A ND S E RV I C E S S O LI CI T A T I ON S
SOLICITATION NUMBER
AGENCY/DEPT
Complete this form to request TACPA preferences for this bid.
Target Area Contract Preference Act (TACPA) preferences are available only if the lowest responsible bid and resulting contract exceeds $100,000. Your firm must be California based.
You must certify, under penalty of perjury, to perform either 50% of the labor hours required to complete a contract for GOODS, or 90% of the labor hours required to complete a contract
for SERVICES in the Target Area Contract Preference Act zone(s) you identify in Section I. The TACPA provides bid selection preferences of 5% for eligible worksites (Section I), and 1%
to 4% for hiring eligible workforce employees (Section II). To identify Census Tract and Block Group numbers contact the city or county Planning and Development Commission for the
intended worksite or visit the U.S. Census Bureau website (www.census.gov).
Section I.
5% WORKSITE(S) PREFERENCE ELIGIBILITY AND LABOR HOURS
To the Bidder: Preference may be denied for failure to provide the following required information:
(1) Identify each firm in the supply chain, including yours, that will perform any of the contract labor hours required to complete this contract. Identify your role in the distribution process.
Transportation hours performed by each carrier must be reported separately.
(2) List complete addresses for each firm named below.
(3) Report projected number of labor hours required to perform the contract for each firm.
(4) Enter the CENSUS TRACT number.
(5) Enter the BLOCK GROUP number.
(6)
Identify the California designated TACPA worksite(s) by entering the proper Criteria letter A, B, C, D, E, F (see reverse for instructions) in the Criteria column.
COMPLETE FOR ALL SITES LOCATED WITHIN A TACPA
(1)
(2)
(3)
PREFERENCE AREA(S)
FIRM NAME and CONTRACT FUNCTION:
WORKSITE ADDRESS
PROJECTED
(Manufacturing, transportation, shipping, warehousing, admin., etc.)
(4)
(5)
(6)
Street Address, City, County, State, Zip Code, Phone Number
LABOR HOURS
Use additional pages, as needed, to fully report worksite information.
TRACT NUMBER
BLOCK NUMBER
CRITERIA (A – F)
0.00
T O T A L P R OJE C T E D L A BOR HOURS :
Section II.
1% TO 4% WORKFORCE PREFERENCE
Bidders must qualify their firm’s work site eligibility to request an additional 1% to 4% workforce preference in Section II .
I request a 1% preference for hiring eligible persons to perform 5 to 9.99% of the total contract labor hours.
I request a 2% preference for hiring eligible persons to perform 10 to 14.99% of the total contract labor hours.
I request a 3% preference for hiring eligible persons to perform 15 to 19.99% of the total contract labor hours.
I request a 4% preference for hiring eligible persons to perform 20% or more of the total contract labor hours.
Section III.
CERTIFICATION FOR WORKSITE AND WORKFORCE PREFERENCES
To receive TACPA preferences, the following certification must be completed and signed by the Bidder.
I hereby certify under penalty of perjury that the bidder (1) is a California based company as defined in the TACPA regulations; (2) shall ensure that at least 50% of the labor hours required to
complete a contract for Goods, or 90% of the labor hours to complete a Services contract shall be performed at the designated TACPA worksite(s) claimed in Section I; (3) shall hire persons who are
TACPA eligible employees to perform the specified percent of total contract labor hours as claimed in Section II; (4) has provided accurate information on this request. I understand that any person
furnishing false certification, willfully providing false information or omitting information, or failing to comply with the TACPA requirements is subject to sanctions as set forth in the statutes.
BIDDER’S NAME & TITLE
BIDDER'S SIGNATURE
PHONE NUMBER
DATE
FAX NUMBER
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STD. 830 (REV. 10/2019) (FRONT)
STATE OF CALIFORNIA – DEPARTMENT OF GENERAL SERVICES
T A RG E T A R E A CONT R A CT P R E F E R E N C E A C T
DISPUTE RESOLUTION AND PREFERENCE PROGRAMS
P R E F E R E N C E R E QUES T FOR GOODS A ND S E RV I C E S S O LI CI T A T I ON S
SOLICITATION NUMBER
AGENCY/DEPT
Complete this form to request TACPA preferences for this bid.
Target Area Contract Preference Act (TACPA) preferences are available only if the lowest responsible bid and resulting contract exceeds $100,000. Your firm must be California based.
You must certify, under penalty of perjury, to perform either 50% of the labor hours required to complete a contract for GOODS, or 90% of the labor hours required to complete a contract
for SERVICES in the Target Area Contract Preference Act zone(s) you identify in Section I. The TACPA provides bid selection preferences of 5% for eligible worksites (Section I), and 1%
to 4% for hiring eligible workforce employees (Section II). To identify Census Tract and Block Group numbers contact the city or county Planning and Development Commission for the
intended worksite or visit the U.S. Census Bureau website (www.census.gov).
Section I.
5% WORKSITE(S) PREFERENCE ELIGIBILITY AND LABOR HOURS
To the Bidder: Preference may be denied for failure to provide the following required information:
(1) Identify each firm in the supply chain, including yours, that will perform any of the contract labor hours required to complete this contract. Identify your role in the distribution process.
Transportation hours performed by each carrier must be reported separately.
(2) List complete addresses for each firm named below.
(3) Report projected number of labor hours required to perform the contract for each firm.
(4) Enter the CENSUS TRACT number.
(5) Enter the BLOCK GROUP number.
(6)
Identify the California designated TACPA worksite(s) by entering the proper Criteria letter A, B, C, D, E, F (see reverse for instructions) in the Criteria column.
COMPLETE FOR ALL SITES LOCATED WITHIN A TACPA
(1)
(2)
(3)
PREFERENCE AREA(S)
FIRM NAME and CONTRACT FUNCTION:
WORKSITE ADDRESS
PROJECTED
(Manufacturing, transportation, shipping, warehousing, admin., etc.)
(4)
(5)
(6)
Street Address, City, County, State, Zip Code, Phone Number
LABOR HOURS
Use additional pages, as needed, to fully report worksite information.
TRACT NUMBER
BLOCK NUMBER
CRITERIA (A – F)
0.00
T O T A L P R OJE C T E D L A BOR HOURS :
Section II.
1% TO 4% WORKFORCE PREFERENCE
Bidders must qualify their firm’s work site eligibility to request an additional 1% to 4% workforce preference in Section II .
I request a 1% preference for hiring eligible persons to perform 5 to 9.99% of the total contract labor hours.
I request a 2% preference for hiring eligible persons to perform 10 to 14.99% of the total contract labor hours.
I request a 3% preference for hiring eligible persons to perform 15 to 19.99% of the total contract labor hours.
I request a 4% preference for hiring eligible persons to perform 20% or more of the total contract labor hours.
Section III.
CERTIFICATION FOR WORKSITE AND WORKFORCE PREFERENCES
To receive TACPA preferences, the following certification must be completed and signed by the Bidder.
I hereby certify under penalty of perjury that the bidder (1) is a California based company as defined in the TACPA regulations; (2) shall ensure that at least 50% of the labor hours required to
complete a contract for Goods, or 90% of the labor hours to complete a Services contract shall be performed at the designated TACPA worksite(s) claimed in Section I; (3) shall hire persons who are
TACPA eligible employees to perform the specified percent of total contract labor hours as claimed in Section II; (4) has provided accurate information on this request. I understand that any person
furnishing false certification, willfully providing false information or omitting information, or failing to comply with the TACPA requirements is subject to sanctions as set forth in the statutes.
BIDDER’S NAME & TITLE
BIDDER'S SIGNATURE
PHONE NUMBER
DATE
FAX NUMBER
STD. 830 (REV. 10/2019) (REVERSE)
STATE OF CALIFORNIA – DEPARTMENT OF GENERAL SERVICES
TARGETAREACONTRACTPREFERENCEACT
DISPUTE RESOLUTION AND PREFERENCE PROGRAMS
PREFERENCEREQUESTFORGOODSANDSERVICESSOLICITATIONS
If supplying goods, the bidder must also provide a completed and signed Manufacturer’s
TargetAreaContractPreferenceActReferencesandInstructions
Summary form (included with this solicitation) that specifies the number of projected labor
The Target Area Contract preference Act (TACPA), GC §4530 et seq., and 2 CCR §1896.30
hours necessary to make the product(s).
et seq., promotes employment and economic development at designated distressed areas by
offering 5% worksite and 1% to 4% workforce bidding preferences in specified state
contracts. The TACPA preferences do not apply to contracts where the worksite is fixed by
Section II
the contract terms. These preferences only apply to bidders who are California based firms,
Workforce Preference
and only when the lowest responsible bid and resulting contract exceed $100,000. Bidders
must certify, under penalty of perjury to perform either 50% (for GOODS contracts) or 90%
(for SERVICES contracts) of the labor hours required to complete this contract in the eligible
Eligibility to request a workforce preference is based on the bidder first claiming and receiving
TACPA area worksite(s) identified in Section I on the reverse side of this page. TACPA
approval of the 5% TACPA worksite preference. The workforce preferences are only awarded
preferences are limited to 9%, or a maximum of $50,000 per bid. In combination with any
if the bidder hires and employs the TACPA qualified individuals. Workforce preferences will
other preferences, the maximum limit is 15% of the lowest responsible bid; and, in no case
not be approved for another firm's employees. By claiming a workforce preference
more than $100,000 per bid.
percentage, the bidder must have its eligible employees perform the specified percentage of
the total contract workforce labor hours. See Section I, “Total Projected Labor Hours,”
STD. 830. To claim the workforce preferences select or check the appropriate box for percent
Section I
of requested bid preferences in Section II.
Worksite Preference Eligibility and Labor Hours
Section III
Bidders must identify at least one eligible TACPA worksite by entering the criteria letter A, B,
Certification for Worksite and Workforce Preferences
C, D, E or F in the “Criteria” column and enter the “Census Tract” and “Block Group”
Numbers to be eligible for the preference. You must name each and every firm or site where
contract labor hours will be worked. Preference requests may be denied if an eligible
Bidder must sign, under penalty of perjury, the certification contained in Section III to be
California TACPA worksite is not identified, or all firms performing contract labor hours are
eligible for any of the preferences requested pursuant to this form. The penalties associated
not identified. Enter one of the following “Criteria” letters to identify each TACPA worksite on
with the TACPA statute are: GC §4535.1, a business which requests and is given the
the reverse page:
preference by reason of having furnished a false certification, and which by reason of that
certification has been awarded a contract to which it would not otherwise have been entitled,
A.
The firm is located in a California eligible distressed area(s).
shall be subject to all of the following:
B.
The firm will establish a worksite(s) in a California eligible distressed area(s).
(a) Pay to the State any difference between the contract amount and what the State's cost
C.
The firm is in a census tract with a contiguous boundary adjacent to a California eligible
would have been if the contract had been properly awarded.
distressed area.
(b) In addition to the amount specified in subdivision (a), be assessed a penalty in an
D.
The firm will establish a worksite(s) located directly adjoining a valid TACPA census
amount of not more than 10 percent of the amount of the contract involved.
tract/block group that when attached to the California eligible distressed area(s) forms a
(c) Be ineligible to directly or indirectly transact any business with the State for a period of
contiguous boundary.
not less than six months and not more than 36 months.
E.
The bidder will purchase the contract goods from a manufacturer(s) in a California
eligible distressed area(s). This option applies to solicitations for GOODS only.
Prior to the imposition of any sanction under this chapter, the contractor or vendor shall be
entitled to a public hearing and to five days notice of the time and place thereof. The notice
F.
The bidder will purchase contract goods from a manufacturer(s) in directly adjoining
shall state the reasons for the hearing.
census tract blocks that when attached to the California eligible distressed area(s) forms
a contiguous boundary. This option applies to solicitations for GOODS only.
If you receive an award based on these preferences you will be required to report
Enter labor hours for each listed firm and site. The hours shall be reasonable and shall only
monthly on your contract performance, labor hours, and TACPA compliance.
include the labor hours necessary and required to complete the contract activities. Artificially
increasing hours at a claimed TACPA worksite, or understating labor hours worked outside
For questions concerning preferences and calculations, or if a bid solicitation does not include
the eligible worksite may result in a denied preference request. Do not include machine time
preference request forms, please call the awarding Department's contract administrator. Only
and non-labor time when projecting contract labor hours. Report all bidder work hours and
another California certified small business can use TACPA, EZA or LAMBRA preferences to
those of any subcontractor performing this contract. All transportation hours must be reported
displace a California certified small business bidder.
for each carrier separately and must not be combined or included with hours for
manufacturing, processing, or administration, or at any eligible TACPA site. Failure to list all
To identify TACPA distressed worksites contact the local city or county Planning/Economic
the labor hours to be performed at the reportable sites will result in a denial of this preference
Development offices of the proposed worksite, or go to http://factfinder.census.gov and click
request.
on “Enter a street address” to find a Census Tract and Block Group. Verify the Census Tract
and Block numbers for TACPA sites by calling the DGS, Procurement Division preference line
The bidder must explain, by activity, their firm's projected contract labor hours by completing
at (916) 375-4609.
and signing the Bidder’s Summary form (included with this solicitation).
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