25FS0040_-_CALIFORNIA_CIVIL_RIGHTS_LAWS_CERTIFICATION.pdf
PDF 270 KB Posted
- Attached to
- 25FS0040 - Pharmacy Regimen Services
- Solicitation number
- 0000039152
- Issued by
- Fresno County, Inyo County, Kings County, Madera County, Mariposa County, Merced County, Mono County, Monterey County, San Benito County, Tulare County, Fresno City, Kingsburg City, Inyokern CDP, Monterey Park City, Madera City, Madera Acres CDP, Madera Ranchos CDP, Corte Madera Town, Mariposa CDP, Merced City, University of California-Merced CDP, Mono City CDP, Monterey City, Kings Beach CDP, Monterey Park Tract CDP, East Tulare Villa CDP, Tulare City, Mono Vista CDP, California
About this file
This is a California Civil Rights Laws Certification form issued by the Department of General Services Office of Legal Services for solicitation 25FS0040, which pertains to Pharmacy Regimen Services at the Veterans Home of California at Fresno. The certification requirement applies to all bidders and contractors submitting proposals for state contracts valued at $100,000 or above. Bidders must certify compliance with the Unruh Civil Rights Act and the Fair Employment and Housing Act for contracts executed or renewed after January 1, 2017. The form requires an authorized representative to sign under penalty of perjury and provide the proposer's firm name, federal identification number, county and state where executed, and the execution date.
The certification also requires contractors to attest that any internal policies regarding sovereign nations or peoples recognized by the United States government are not applied in violation of California civil rights laws. This mandatory certification must be completed and submitted with the bid or proposal as a condition of contract eligibility. The form serves as a prerequisite compliance document rather than establishing pricing, set-asides, or other commercial terms of the underlying Pharmacy Regimen Services contract.
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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: 25FS0040
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