26HS0001_-_Darfur.pdf
PDF 202 KB Posted
- Solicitation number
- 0000038508
About this file
This file is a Darfur Contracting Act Certification form issued by the California Department of General Services for use in state contract solicitations. The document applies to solicitation 26HS0001, which involves Operating Equipment Maintenance and Repair Services for the California Department of Veterans Affairs' Northern California Veterans Cemetery located at 11800 Gas Point Road, Igo, CA 96047. The certification form must be completed by any company that has conducted business activities or operations outside the United States within the previous three years and wishes to bid on this state contract.
The form provides two compliance pathways for eligible bidders. Under Option #1, companies must certify under penalty of perjury that they are not a scrutinized company as defined in Public Contract Code Section 10476, requiring submission of the company name, Federal ID number, authorized signature, and signatory title. Under Option #2, companies that qualify as scrutinized entities may still submit bids if they have obtained written permission from the California Department of General Services on a case-by-case basis, provided such permission serves the best interests of the state under Public Contract Code Section 10477(b). Companies without international business activities in the previous three years are exempt from this certification requirement.
View the file
Other files
Show all 14
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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: 26HS0001
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 .