Form DGS PD810 "Contracting Activity Report" - California

What Is Form DGS PD810?

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 DGS PD810 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 DGS PD810 "Contracting Activity Report" - California

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DGS PD 810, Formerly STD 810
STATE OF CALIFORNIA-DEPARTMENT OF GENERAL SERVICES
Contracting Activity Report (CAR) (Rev. 10/2019)
PROCUREMENT DIVISION
Year of Report :
Agency:
Department:
Part 1
Part 2
Certified Disabled Veteran Business Enterprise (DVBE) Participation in State Contracting Activity
Certified Small Business (SB) / Microbusiness (MB) Participation in State Contracting Activity
TOTAL CONTRACT AWARDS
TOTAL CONTRACT AWARDS
Percentage
Percentage
CONTRACTING
Total Contract
Total $ to DVBE
Total $ to DVBE
Total DVBE Prime
(Column D
Total Contract
Total $ to SB/MB
Total $ to SB/MB Sub-
Total SB/MB
(Column J
ACTIVITY
Dollars*
Prime Contractors
Sub-Contractors
& Subs $
divided by
Dollars*
Prime Contractors
Contractors
Contract Dollars
divided by
CATEGORY
Column A)
Column G)
A
B
C
D (B+C)
E (D/A)
F
G
H
I
J (H+I)
K
$0.00
0.00%
SB
$
SB
$
SB
SB
1. Goods
$
$
$
$0.00
0.00%
$0.00
(Non-IT)
$0.00
0.00%
MB
$
MB
$
MB
MB
SB
$
SB
$
SB
$0.00
SB
0.00%
2. Services**
$0.00
$0.00
$
$
$
0.00%
(Non-IT)
$0.00
0.00%
MB
$
MB
$
MB
MB
$0.00
0.00%
SB
$
SB
$
SB
SB
3. Construction
$
$
$
$0.00
0.00%
$0.00
$0.00
0.00%
MB
$
MB
$
MB
MB
$0.00
0.00%
SB
$
SB
$
SB
SB
4. IT (Goods &
0.00%
$
$
$
$0.00
$0.00
Services)
$
$
$0.00
0.00%
MB
MB
MB
MB
0.00%
SB
$
SB
5. Cal-Card Data
0.00%
$0.00
$
$
0.00%
MB
$
MB
$0.00
$0.00
$0.00
0.00%
SB
SB
SB
SB
TOTALS
$0.00
$0.00
$0.00
$0.00
0.00%
$0.00
$0.00
$0.00
$0.00
0.00%
MB
MB
MB
MB
DVBE
SB
MB
0.00%
TOTAL NUMBER OF DVBE CONTRACTS:
TOTAL NUMBER OF SB/MB CONTRACTS:
# Awards by
# Awards by
# DVBE Firms
# DVBE Firms
# SB Firms
# SB Firms
# Awards by SB Cert
# Awards by SB
DVBE Cert ID -
DVBE Cert ID -
Awarded - Prime
Awarded - Sub
Awarded - Prime
Awarded - Sub
ID - Prime
Cert ID - Sub
Prime
Sub
Did you report using Award amounts per PCC 10111?
YES
NO
If not, please explain why?
Comments:
Preparer's Information:
Approver's Information
Name (Print):
Name (Print):
Title:
Title:
Signature:
Date:
Signature:
Date:
Telephone
Fax:
Telephone:
Fax:
Email Address:
Email Address:
Street Address:
City:
Zip:
Return Annual Department Reports To:
Department of General Services
*The amounts shown in Columns A and G should be the same. If not, submit an explanation with this report.
**Includes Architect and Engineering Services (A&E)
Procurement Division/OSDS
DVBE = Disabled Veteran Business Enterprise
SB = Small Business
MB = Microbusiness
Attn: Reports Coordinator
707 3rd Street, Room1-400, IMS Z-1, MS 210
INCLUDE Form 810 Supplemental Report , Form 810 A Infrastructure Bond Acts Report, Consulting Services Report and Ethnicity, Race and Gender Reports with submission of the annual report.
West Sacramento, CA 95605
DGS PD 810, Formerly STD 810
STATE OF CALIFORNIA-DEPARTMENT OF GENERAL SERVICES
Contracting Activity Report (CAR) (Rev. 10/2019)
PROCUREMENT DIVISION
Year of Report :
Agency:
Department:
Part 1
Part 2
Certified Disabled Veteran Business Enterprise (DVBE) Participation in State Contracting Activity
Certified Small Business (SB) / Microbusiness (MB) Participation in State Contracting Activity
TOTAL CONTRACT AWARDS
TOTAL CONTRACT AWARDS
Percentage
Percentage
CONTRACTING
Total Contract
Total $ to DVBE
Total $ to DVBE
Total DVBE Prime
(Column D
Total Contract
Total $ to SB/MB
Total $ to SB/MB Sub-
Total SB/MB
(Column J
ACTIVITY
Dollars*
Prime Contractors
Sub-Contractors
& Subs $
divided by
Dollars*
Prime Contractors
Contractors
Contract Dollars
divided by
CATEGORY
Column A)
Column G)
A
B
C
D (B+C)
E (D/A)
F
G
H
I
J (H+I)
K
$0.00
0.00%
SB
$
SB
$
SB
SB
1. Goods
$
$
$
$0.00
0.00%
$0.00
(Non-IT)
$0.00
0.00%
MB
$
MB
$
MB
MB
SB
$
SB
$
SB
$0.00
SB
0.00%
2. Services**
$0.00
$0.00
$
$
$
0.00%
(Non-IT)
$0.00
0.00%
MB
$
MB
$
MB
MB
$0.00
0.00%
SB
$
SB
$
SB
SB
3. Construction
$
$
$
$0.00
0.00%
$0.00
$0.00
0.00%
MB
$
MB
$
MB
MB
$0.00
0.00%
SB
$
SB
$
SB
SB
4. IT (Goods &
0.00%
$
$
$
$0.00
$0.00
Services)
$
$
$0.00
0.00%
MB
MB
MB
MB
0.00%
SB
$
SB
5. Cal-Card Data
0.00%
$0.00
$
$
0.00%
MB
$
MB
$0.00
$0.00
$0.00
0.00%
SB
SB
SB
SB
TOTALS
$0.00
$0.00
$0.00
$0.00
0.00%
$0.00
$0.00
$0.00
$0.00
0.00%
MB
MB
MB
MB
DVBE
SB
MB
0.00%
TOTAL NUMBER OF DVBE CONTRACTS:
TOTAL NUMBER OF SB/MB CONTRACTS:
# Awards by
# Awards by
# DVBE Firms
# DVBE Firms
# SB Firms
# SB Firms
# Awards by SB Cert
# Awards by SB
DVBE Cert ID -
DVBE Cert ID -
Awarded - Prime
Awarded - Sub
Awarded - Prime
Awarded - Sub
ID - Prime
Cert ID - Sub
Prime
Sub
Did you report using Award amounts per PCC 10111?
YES
NO
If not, please explain why?
Comments:
Preparer's Information:
Approver's Information
Name (Print):
Name (Print):
Title:
Title:
Signature:
Date:
Signature:
Date:
Telephone
Fax:
Telephone:
Fax:
Email Address:
Email Address:
Street Address:
City:
Zip:
Return Annual Department Reports To:
Department of General Services
*The amounts shown in Columns A and G should be the same. If not, submit an explanation with this report.
**Includes Architect and Engineering Services (A&E)
Procurement Division/OSDS
DVBE = Disabled Veteran Business Enterprise
SB = Small Business
MB = Microbusiness
Attn: Reports Coordinator
707 3rd Street, Room1-400, IMS Z-1, MS 210
INCLUDE Form 810 Supplemental Report , Form 810 A Infrastructure Bond Acts Report, Consulting Services Report and Ethnicity, Race and Gender Reports with submission of the annual report.
West Sacramento, CA 95605
Form 810 (Rev. April 2019)
State of California – Department of General Services
CONTRACTING ACTIVITY REPORT
Procurement Division
Page 1 of 6
_____________________________________Form Completion Instructions__________________________________
General Information: Submit one report for all contract
your behalf. These are referred to herein as
award activity during the reporting period, including
"contracts".
contracting participation of Disabled Veteran Business
Enterprises (DVBE), Small Businesses (SB), and
For all contracts, include any amendments, alterations,
Microbusinesses (MB). Per Public Contract Code
change orders, and extensions to those contracts (by
10111(d), in statewide contracting include dollar values of
whatever form used) that change the total amount by
contract award. If no state funded contracts were awarded
more than $1.00. Enter all contracts issued pursuant to
during the reporting period, this report is still required
delegation of authority or under a Leveraged Procurement
indicating no contracting activity during the reporting
Agreement (LPA). LPAs include California Multiple Award
period. Departments that discover they are exempt must
Schedules (CMAS), Master Agreements, Statewide
provide the statutory citation of the exemption.
Contracts, and State Price Schedules (except with Prison
Industry Authority [PIA]). Include all contracts, whether or
Departments are required to maintain records to support
not subject to DGS authority/review. Executive branch
total dollar amounts reported and to validate submissions.
entities that awarded no contracts must still report.
Such documentation should include a list of contracts with
New! Report multi-year contracts in full in the first
purchase order numbers, activity category, total amount,
year (front load). If your department used to report multi-
sub-contractors amounts, and certification type. The
year contracts annually or uses an uploading interface into
documentation should allow the person viewing it to find
the procurement system, contact
the connection between an individual contract and this
OSDSReports@dgs.ca.gov
to determine how to report the
form.
contracts or remaining dollars during the transition year.
Reportable Contracts: Only report contracts with non-
Do not report contracts or agreements with the federal
governmental entities. Include all types of purchase orders
government, any other state government, federal grants,
and contracts, by any form used, (e.g., STD 65, STD 210,
the Prison Industry Authority, Interagency Agreements,
STD 213, STD 213A, STD 215, service orders, purchase
Joint Powers Agreements, contracts or agreements with
orders, sub-purchase orders). Include all purchase
the California State University or the University of
orders/contracts used to acquire Information Technology
California or any of their respective campuses, concession
(IT) goods and services, non-IT goods, non-IT services, or
contracts, revenue/reimbursement contracts, or contracts
construction. Include all Cal-Card or cash purchases,
or agreements with any county, city, city and county,
even if less than $100, and emergency purchases. Include
school or special district (commonly referred to as local
any contracts issued by DGS or any other department on
agencies). Do not include loans, local
Form 810 (Rev. April 2019)
State of California – Department of General Services
CONTRACTING ACTIVITY REPORT
Procurement Division
Page 2 of 6
_____________________________________Form Completion Instructions__________________________________
assistance/subvention agreements, or court-ordered
Construction: Enter the award value of all contracts for
settlements or cost.
public works, new construction, capital improvements, and
design-build.
Year of report: Enter the fiscal year you are reporting on.
NOTE: Under the Capitol Outlay Project agreements,
DGS Real Estate Service Division (RESD) is determined
Agency: The reporting department will use the drop down
to be the “awarding” department. The awarding
box to pick the name of their “parent” agency, i.e., the
department must take credit for public works participation
Department of General Services reports to the
by DVBE/SB entities, not the client departments. If the
Government Operations Agency.
department is not empowered to perform public works
contracts, then the department cannot be deemed the
Department: Enter the reporting department’s or other
“awarding” and therefore, does not report the contract
entity’s name.
dollars or the level of participation for these contracts.
Note: You cannot enter any data in Form 810 if
Information Technology (IT) Goods and Services:
Agency or Department field is blank.
Enter the award value of all contracts for IT goods and
services, including those with suppliers that hold Volume
Goods (Non-IT): Enter the award value of all contracts for
Purchase Agreements (VPAs). (VPAs are for the
materials, supplies, equipment, and food, a.k.a.
purchase of a license to use a product, not the actual
“commodities” (but exclude IT goods which are reported in
product). Include all contracts executed for IT Goods and
the IT category); all contracts executed under delegated
Services. Include all LPAs and contracts issued under
authority for goods; and LPAs and contracts issued under
LPAs.
LPAs.
Cal-Card Data:
Services (Non-IT): Enter the award value of all contracts
Enter the value of all Cal-Card transactions for all goods,
for personal services, financial services, Architectural and
services, construction and IT goods and services if the
Engineering (A&E) related services (but exclude IT
data has not been reported in the previous four
services which are reported in the IT category); and any
categories.
other service with non-governmental entities. Include
contracts with any University Foundation or auxiliary
NOTE: Contracts and subcontracts awarded to a firm
organization. Include all LPAs and contracts issued under
that is certified by the DGS as both a DVBE and a SB
LPAs related services.
or MB may be counted for both the SB/MB report and
the DVBE report.
Form 810 (Rev. April 2019)
State of California – Department of General Services
CONTRACTING ACTIVITY REPORT
Procurement Division
Page 3 of 6
_____________________________________Form Completion Instructions__________________________________
PART 1
Column E – Percentage: The system will compute the
Certified Disabled Veteran Business Enterprise
percentage of DVBE participation and place it in Column
Participation
E. (Column E = Column D divided by Column A).
Column A – Total Contract Dollars: Enter the total
Bottom of Column D – # of DVBE Contracts: Enter the
award value, in whole dollar amounts, of all contracts with
total number of contracts awarded to DVBE firms during
any non-government entity, awarded (or changed) during
the reporting period.
the reporting period by category.
New! # DVBE Firms Awarded – Prime: Enter the total
Column B – Certified DVBE Participation (PRIME):
number of DVBE firms awarded state prime contracts
Enter the total amount of all contracts awarded to the
during the fiscal year.
certified DVBE Prime Contractors for each of the first four
categories (identified above) in Column B.
New! # DVBE Firms Awarded – Sub: Enter the total
Exception: Do not enter any dollar amounts for Line 5
number of DVBE firms awarded subcontracts on state
(Cal-Card Data).
contracts during the fiscal year.
Column C – Certified DVBE Participation (SUB): Enter
New! # Awards by DVBE Cert ID – Prime: Enter the total
the total amount of all contracts awarded to the certified
number of prime contracts awards received by DVBE
DVBE Subcontractors for each of the first four categories
firms. For FI$Cal departments the system generates a list
(identified above) in Column C.
of award counts by unique certification ID.
Exception: Do not enter any dollar amounts for Line 5
(Cal-Card Data).
New! # Awards by DVBE Cert ID – Sub: Enter the total
number of subcontracts awarded to DVBE firms. For
Column D – Total DVBE Contract Dollars: The system
FI$Cal departments the system generates a list of award
will add up automatically the total value of all contract
counts by unique certification ID.
awards made to certified
DVBE Prime Contractors and Subcontractors for each of
the first four categories of contracts and enter them into
Column D (Column D = Column B + Column C).
The total DVBE dollars for Cal-Card transactions should
be entered manually in this column (Cell E19).
Form 810 (Rev. April 2019)
State of California – Department of General Services
CONTRACTING ACTIVITY REPORT
Procurement Division
Page 4 of 6
_____________________________________Form Completion Instructions__________________________________
Column J – Total SB/MB Contract Dollars: The system
PART 2
will add up automatically the total value of all contract
Certified Small Business/Microbusiness Participation
awards made to certified SB/MB Prime Contractors and
Subcontractors for each of the first four categories of
NOTE:
Any
company
that
is
certified
as
both
contracts and enter them in Column J (Column J =
Microbusiness and Small Business should only be
Column H + Column I).
counted as Microbusiness. The only companies that
The total SB/MB dollars for Cal-Card transactions should
should be reported under Small Business are those that
be entered manually in this column (Cells N19 & N20).
are Small Businesses only.
Column K – Percentage: The system will compute the
Column G – Total Contract Dollars: If you use this form
percentage of the SB/MB participation and place it in
electronically this information will be automatically
Column K. (Column K = Column J divided by Column G).
populated when you enter data in Column A. If not, enter
the total award value, in whole dollar amounts, of all
Bottom of Column I & J – # of Contracts: Enter the total
contracts with any non-government entity, awarded (or
number of contracts awarded to SB and MB businesses
changed) during the reporting period by category.
during the reporting period.
Column H – Certified SB/MB Participation (PRIME):
New! # SB Firms Awarded – Prime: Enter the total
Enter the total amount of all contracts awarded to SB/MB
number of SB firms awarded state prime contracts during
Prime Contractors for each of the first four categories and
the fiscal year.
enter those totals in the appropriate boxes.
Exception: Do not enter any dollar amounts for Line 5
New! # SB Firms Awarded – Sub: Enter the total number
(Cal-Card Data).
of DVBE firms awarded subcontracts on state contracts
during the fiscal year.
Column I – Certified SB/MB Participation (SUB): Enter
the total amount of all contracts awarded to SB/MB
New! # Awards by SB Cert ID – Prime: Enter the total
Subcontractors for each of the first four categories and
number of prime contracts awards received by SB firms.
enter those totals in the appropriate boxes.
For FI$Cal departments the system generates a list of
Exception: Do not enter any dollar amounts for Line 5
award counts by unique certification ID.
(Cal-Card Data).
New! # Awards by SB Cert ID – Sub: Enter the total
number of subcontracts awarded to SB firms. For FI$Cal
Page of 7