26BS0001_-_Darfur.pdf
PDF 246 KB Posted
- Solicitation number
- 0000038815
- Issued by
- Inyo County, Kern County, Los Angeles County, Orange County, Riverside County, San Bernardino 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, California
About this file
This is a Darfur Contracting Act Certification form required by the State of California for the solicitation 26BS0001 regarding Fire Safety System Maintenance and Repair Services at the Veterans Home of California at Barstow. The form applies to any company that has conducted business activities or operations outside the United States within the previous three years. Prospective bidders must certify their eligibility status prior to submitting a proposal. Companies without international business activities during the specified period are exempt from completing the certification.
The form provides two compliance pathways for eligible bidders. Option 1 allows companies to certify under penalty of perjury that they are not a scrutinized company as defined under California Public Contract Code Section 10476. Option 2 permits scrutinized companies that have obtained written permission from the California Department of General Services to submit a bid or proposal on a case-by-case basis if deemed in the state's best interest. Bidders must provide their company name, Federal ID number, and authorized signature. The certification references Public Contract Code Sections 10475-10481 and is governed by California state law.
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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: 26BS0001
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
| OPTION #1 - CERTIFICATION |
| OPTION #2 – WRITTEN PERMISSION FROM DGS |
| Federal ID Number: |
| Printed Name and Title of Person Signing: |
| CompanyVendor Name Printed_2: |
| Federal ID Number_2: |
| Printed Name and Title of Person Initialing: |
| CompanyVendor Name: |
| ADA Instructions: |
| Date of signature: |
| Date of signature 2: |
File details come from the government source that posted it. Updated .