5._Darfur_Contracting_Act_OBS_1500_(06-11).pdf
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- (1) Type II Ambulance
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- 0000035536
- Issued by
- San Bernardino County, California
About this file
This document is a Darfur Contracting Act form issued by the California Department of Corrections and Rehabilitation (CDCR), specifically OBS 1500 dated 06/11. The form requires companies bidding on or submitting proposals for California state contracts to certify their compliance with Public Contract Code Sections 10475-10481, which apply to businesses with operations outside the United States within the previous three years. The document provides three certification options: Option #1 for companies with no activities outside the US, Option #2 for companies with international activities requiring certification, and Option #3 for scrutinized companies that have obtained written permission from the Department of General Services (DGS) to submit a bid or proposal.
The certification process is designed to ensure that companies doing business with the state of California are not engaged in activities that conflict with the state's ethical and legal standards, particularly in regions like Darfur. Companies must either affirm they have no international operations, certify they are not a "scrutinized company" under the law, or provide documented permission from DGS to participate in state contracts. The form requires companies to provide their name, federal ID number, and an authorized signature, with the understanding that false statements are made under penalty of perjury and subject to the laws of the State of California.
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DEPARTMENT OF CORRECTIONS AND REHABILITATION (CDCR) STATE OF CALIFORNIA
OBS 1500 Darfur Contracting Act (06/11)
DARFUR CONTRACTING ACT
Bid/Agreement Number OR Request for Quote Number: ____________
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.
Select only one of the following options:
OPTION #1 – NO ACTIVITIES OUTSIDE THE US
If your company has not, within the previous three years, had any business activities or other operations outside of the United States, print your company name, date and signature below:
Company/Vendor Name (Printed) Date
By (Authorized Signature)
OPTION #2 - 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
Date Executed Executed in the County and State Of:
OPTION #3 – 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.
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
| BidAgreement Number OR Request for Quote Number: |
| CompanyVendor Name Printed: |
| Date: |
| By Authorized Signature: |
| CompanyVendor Name Printed_2: |
| Federal ID Number: |
| By Authorized Signature_2: |
| Printed Name and Title of Person Signing: |
| Date Executed: |
| Executed in the County and State Of: |
| CompanyVendor Name Printed_3: |
| Federal ID Number_2: |
| By Authorized Signature_3: |
| Printed Name and Title of Person Signing_2: |
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