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This document is a Darfur Contracting Act Certification form from the California Department of General Services Procurement Division for Solicitation 25BS0010. The form addresses requirements for companies that have conducted business activities outside the United States within the previous three years, mandating that such companies must either certify they are not a "scrutinized company" or obtain written permission from the Department of General Services to submit a bid or proposal for a State of California contract.

The certification form provides two options for companies: Option #1 allows companies to certify under penalty of perjury that they are not a scrutinized company, while Option #2 is for scrutinized companies that have received written permission from the Department of General Services to submit a bid. Companies must provide their company/vendor name, Federal ID Number, and an authorized signature. The form is specifically tied to Public Contract Code Sections 10475-10481, which regulates companies with international business activities seeking to contract with the State of California, ensuring compliance with state procurement guidelines.

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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.

Solicitation: 25BS0010

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

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