20._Darfur_Contracting_Act_(CCHCS-MC-394).pdf

Bid Number: SD23-00080

CCHCS-MC-394 Rev. 04/05/2018

DARFUR CONTRACTING ACT

BIDDER’S NAME:

Effective January 1, 2009, contracts for Information Technology (IT) goods or services must address the requirements of the Darfur Contracting Act. The Darfur Contracting Act was passed to preclude state agencies generally from contracting with “scrutinized companies” that do business in the African nation of Sudan (of which the Darfur region is a part), for the reasons described in Public Contract Code (PCC) Section 10475, et seq.

A “scrutinized company” is a company doing business in Sudan as defined in PCC § 10476. A “scrutinized company” is ineligible to, and shall not, bid on or submit a proposal for a contract with a state agency for IT goods or services (PCC § 10477(a)). PCC § 10478(a) requires a company that currently has (or within the previous three (3) years has had) business activities or other operations outside of the United States to certify that it is not a “scrutinized company” in order to submit a bid or proposal to a state agency. A “scrutinized company” may still, however, submit a bid or proposal for a contract with a state agency for goods or services if the company first obtains permission from Department of General Services (DGS) according to the criteria set forth in PCC § 10477(b).

Your bid will be disqualified unless your bid includes this form with either #1 or #2 initialed, or #3 initialed and certified. Therefore, to be eligible to submit a bid, please complete only one of the following: (#1 and #2 only requires initials and #3 requires initials and certification).

1. ______

Initials We do not currently have, or we have not had within the previous three (3) years, business activities or other operations outside of the United States.

OR

2. ______

We are a “scrutinized company” as defined in PCC § 10476, but we have received written permission from DGS to submit a bid pursuant to PCC § 10477(b). A copy of the written permission from DGS is included with our bid.

OR

3. ______

We currently have, or we have had within the previous three (3) years, business activities or other operations outside of the United States, but we certify below that we are not a “scrutinized company” as defined in PCC § 10476.

Bid Number: SD23-00080

CCHCS-MC-394 Rev. 04/05/2018

DARFUR CONTRACTING ACT

CERTIFICATION FOR #3 ONLY

I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that I am duly authorized to legally bind this company to the clause listed above. This certification is made under the laws of the state of California.

Company Name (Printed):

Federal Employer ID Number:

By (Authorized Signature)

Printed Name and Title of Person Signing

Date Executed: Executed in the County and State of: