13._CA_Civil_Rights_Form.pdf
PDF 232 KB Posted
- Attached to
- 25CRW018 - Registered Dietitian Services
- Solicitation number
- 0000036735
About this file
This document is a California Civil Rights Laws Attachment from the State of California Department of General Services, Office of Legal Services. The form applies to contracts valued at $100,000 or above and requires contractors to certify compliance with specific civil rights laws. Specifically, for contracts executed or renewed after January 1, 2017, contractors must certify adherence to the Unruh Civil Rights Act and the Fair Employment and Housing Act.
The attachment mandates that contractors certify they do not have internal policies discriminating against sovereign nations or peoples recognized by the United States government. Contractors must sign this document under penalty of perjury, confirming their compliance with California civil rights regulations. The form includes spaces for the proposer/bidder firm name, Federal ID number, authorized signature, printed name and title of the signatory, county and state of execution, and date of execution. The specific solicitation number for this document is 25CRW018.
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Text version
STATE OF CALIFORNIA DEPARTMENT OF GENERAL SERVICES
CALIFORNIA CIVIL RIGHTS LAWS ATTACHMENT OFFICE OF LEGAL SERVICES
DGS OLS 04 (Rev. 01/17)
Pursuant to Public Contract Code section 2010, a person that submits a bid or proposal to, or otherwise proposes to enter into or renew a contract with, a state agency with respect to any contract in the amount of $100,000 or above shall certify, under penalty of perjury, at the time the bid or proposal is submitted or the contract is renewed, all of the following:
1. CALIFORNIA CIVIL RIGHTS LAWS: For contracts executed or renewed after January 1, 2017, the contractor certifies compliance with the Unruh Civil Rights Act (Section 51 of theCivil Code) and the Fair Employment and Housing Act (Section 12960 of the Government Code); and
2. EMPLOYER DISCRIMINATORY POLICIES: For contracts executed or renewed after January 1, 2017, if a Contractor has an internal policy against a sovereign nation or peoples recognized by the United States government, the Contractor certifies that such policies arenot used in violation of the Unruh Civil Rights Act (Section 51 of the Civil Code) or the Fair Employment and Housing Act (Section 12960 of the Government Code).
CERTIFICATION
I, the official named below, certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
By (Authorized Signature)
Printed Name and Title of Person Signing
Executed in the County of Executed in the State of
Date Executed
Proposer/Bidder Firm Name (Printed) Federal ID Number
Solicitation Number: 25CRW018
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| Executed in the State of: |
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