12._att_12__darfur_cert__dgs_pd_1.pdf
PDF 393 KB Posted
- Attached to
- IFB 26-3033, Daily Courier Services
- Solicitation number
- 0000039725
- Issued by
- California
About this file
This is a Darfur Certification form issued by the California Department of Social Services (CDSS) in conjunction with Invitation for Bid (IFB) 26-3033 for Daily Courier Services. The form applies to companies that have conducted business activities or operations outside the United States within the previous three years and wish to bid on this California state contract. The contract involves providing daily courier services between the CDSS Disability Determination Services Division (DDSD) Roseville Branch office and the United States Postal Service (USPS).
The form provides two certification pathways for eligible bidders. Option 1 requires companies to certify under penalty of perjury that they are not a scrutinized company as defined under Public Contract Code Section 10476, with authorization from a company official to legally bind the organization. Option 2 applies to scrutinized companies that have obtained prior written permission from the Department of General Services (DGS) to submit a bid or proposal on a case-by-case basis, provided such submission is determined to be in the best interests of the state. Bidders selecting either option must provide their company name, Federal ID Number, and authorization from an appropriate company representative. Companies with no international business activities or operations within the previous three years are exempt from completing this certification.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 07._att_7__bidder_declaration__gspd-05-105.pdf | ||
| 09._att_9__dvbe_sub_agreement.docx | DOCX document | |
| 08._att_8__dvbe_declarations__dgs_pd_843.pdf | ||
| exhibit_2.pdf | ||
| 06._att_6__sub_references.docx | DOCX document | |
| 10._att_10__cuf_evaluation.pdf | ||
| 11._att_11__contractor_certification_clause__ccc_04.2017.pdf | ||
| 04._att_4__rate_sheet.docx | DOCX document | |
| ex_1__dvbe_program_requirements.pdf | ||
| ifb_26-3033.pdf | ||
| 01._att_1__required_attach_checklist.docx | DOCX document | |
| 14._att_14_federal_debarment_cert__dgs_pd_2.pdf | ||
| 03._att_3__bid.bidder_cert_sheet.pdf | ||
| 05._att_5__bidder_references.docx | DOCX document | |
| 13._att_13__payee_data_record__std_204__rev_3.2021_.pdf | ||
| 02._att_2__minimum_qualifications_cert.docx | DOCX document |
Show all 16
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Public Contract Code Sections 10475 -10481 applies to any company that currently or within the previous three years has had business activities or other operations outside of the United States. For such a company to bid on or submit a proposal for a State of California contract, the company must certify that it is either a) not a scrutinized company; or b) a scrutinized company that has been granted permission by the Department of General Services to submit a proposal.
If your company has not, within the previous three years, had any business activities or other operations outside of the United States, you do not need to complete this form.
OPTION #1 - CERTIFICATION
If your company, within the previous three years, has had business activities or other operations outside of the United States, in order to be eligible to submit a bid or proposal, please insert your company name and Federal ID Number and complete the certification below.
I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that a) the prospective proposer/bidder named below is not a scrutinized company per Public Contract Code 10476; and b) I am duly authorized to legally bind the prospective proposer/bidder named below. This certification is made under the laws of the State of California.
Company/Vendor Name (Printed) Federal ID Number
By (Authorized Signature)
Printed Name and Title of Person Signing
OPTION #2 – WRITTEN PERMISSION FROM DGS
Pursuant to Public Contract Code Section 10477(b), the Director of the Department of General Services may permit a scrutinized company, on a case-by-case basis, to bid on or submit a proposal for a contract with a state agency for goods or services, if it is in the best interests of the state. If you are a scrutinized company that has obtained written permission from the DGS to submit a bid or proposal, complete the information below.
Attachment 12IFB 26-3033 California Department of Social Services Page 1 of 2
We are a scrutinized company as defined in Public Contract Code section 10476, but we have received written permission from the Department of General Services to submit a bid or proposal pursuant to Public Contract Code section 10477(b). A copy of the written permission from DGS is included with our bid or proposal.
Company/Vendor Name (Printed) Federal ID Number
Printed Name and Title of Person
Attachment 12IFB 26-3033 California Department of Social Services Page 2 of 2
File details come from the government source that posted it. Updated .