24BS0032_-_Darfur.pdf
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- Solicitation number
- 0000033726
About this file
This is a Darfur Contracting Act Certification form (DGS PD 1) from the State of California, associated with solicitation 24BS0032. The document outlines certification requirements for companies bidding on State of California contracts who have had business activities or operations outside the United States within the previous three years. The form provides two options for certification: Option #1 for companies to certify they are not a scrutinized company, and Option #2 for scrutinized companies that have received special permission from the Department of General Services (DGS) to bid.
The form is mandated by Public Contract Code Sections 10475-10481 and requires companies to either certify they are not a scrutinized company or provide proof of written permission from DGS if they are a scrutinized company. Companies that have not had any business activities outside the US in the previous three years are exempt from completing the form. The document includes spaces for company/vendor name, Federal ID number, authorized signature, and the name and title of the person signing.
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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.
STATE OF CALIFORNIA
DARFUR CONTRACTING ACT CERTIFICATION
DGS PD 1 (Rev. 12/19)
Date
Solicitation: 24BS0032
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
By (Authorized Signature)
Printed Name and Title of Person Signing
Date
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