25CRB005_-_Darfur.pdf
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- Solicitation number
- 0000035063
- Issued by
- Inyo County, Kern County, Los Angeles County, Orange County, Riverside County, San Bernardino County, Tulare County, Orange Cove City, Inyokern CDP, Kernville CDP, East Los Angeles CDP, Lake Los Angeles CDP, Los Angeles City, Orange City, Lake Riverside CDP, Riverside City, Orangevale CDP, San Bernardino City, Orange Blossom CDP, East Tulare Villa CDP, Tulare City, California
About this file
This document is a Darfur Contracting Act Certification form from the State of California Department of General Services (DGS) for Solicitation Number 25CRB005. The form requires companies that have conducted business activities outside the United States within the previous three years to certify their status as either a non-scrutinized company or a scrutinized company that has received written permission from DGS to submit a proposal for a state contract.
The certification 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 obtained written permission from DGS to submit a bid or proposal. Companies must provide their company/vendor name, Federal ID Number, authorized signature, and printed name and title of the person signing. The form is part of California Public Contract Code Sections 10475-10481, which aims to regulate contracting with companies that have business operations in regions associated with human rights concerns.
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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 Number: 25CRB005
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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