26HS0006_-_Darfur.pdf
PDF 202 KB Posted
- Solicitation number
- 0000037729
- Issued by
- Fresno County, Kings County, Madera County, Merced County, Monterey County, San Benito County, Santa Clara County, Santa Cruz County, Fresno City, Kingsburg City, Monterey Park City, Madera City, Madera Acres CDP, Madera Ranchos CDP, Corte Madera Town, Merced City, University of California-Merced CDP, Monterey City, Kings Beach CDP, Santa Clara City, Santa Cruz City, Monterey Park Tract CDP, California
About this file
This is a California Darfur Contracting Act Certification form required for the State of California Department of Veterans Affairs, Veterans Services CCCVC solicitation 26HS0006 for fire protection system services involving sprinklers and hydrants. The form applies to companies that have conducted business activities or operations outside the United States within the previous three years. Bidders must certify their compliance status regarding international business activities to remain eligible to submit proposals. The solicitation is restricted to California certified Disabled Veteran Business Enterprise (DVBE) firms only, with detailed specifications provided in the Scope of Work documents (Exhibits A-D).
The certification form provides two compliance pathways for eligible bidders: Option 1 requires companies to certify under penalty of perjury that they are not scrutinized companies as defined under Public Contract Code Section 10476, or Option 2 allows scrutinized companies to proceed if they have obtained written permission from the California Department of General Services on a case-by-case basis. Companies without international business activities within the previous three years are not required to complete this certification. All questions regarding the solicitation must be submitted via email, and bidders should refer to the included timeline in the Solicitation for Quote Letter for submission deadlines and other critical dates.
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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: 26HS0006
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: |
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