25CRB004_-_California_Civil_Rights_Laws_Certification.pdf

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Attached to
25CRB004 - Temporary/Relief Occupational Therapy Services
Solicitation number
0000035147
Issued by
San Bernardino County, California

About this file

The document is a California Civil Rights Laws Certification form issued by the Department of General Services, Office of Legal Services for the State of California. The form is associated with Solicitation Number 25CRB004 and is required for any contract valued at $100,000 or above, mandating that contractors certify compliance with specific civil rights laws, including the Unruh Civil Rights Act and the Fair Employment and Housing Act.

The certification requires contractors to affirm that for contracts executed or renewed after January 1, 2017, they comply with California civil rights laws and do not have internal policies that discriminate against sovereign nations or peoples recognized by the United States government. Contractors must sign the document under penalty of perjury, providing their firm name, federal ID number, authorized signature, printed name and title, county and state of execution, and date of execution. This form is a mandatory legal requirement for state contract proposals, renewals, or bids to ensure non-discriminatory practices in state contracting.

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DEPARTMENT OF GENERAL SERVICES

OFFICE OF LEGAL SERVICES

STATE OF CALIFORNIA

CALIFORNIA CIVIL RIGHTS LAWS CERTIFICATION

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: 25CRB004

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ProposerBidder Firm Name Printed:
Federal ID Number:
Printed Name and Title of Person Signing:
Executed in the County of:
Executed in the State of:
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