att_12__darfur_cert__dgs_pd_1.pdf
PDF 869 KB Posted
- Attached to
- IFB 25-3065 ASL Interpreting Services
- Solicitation number
- 0000039669
- Issued by
- California
About this file
This is a Darfur Certification form issued by the California Department of Social Services in connection with Invitation for Bid (IFB) 25-3065 for ASL Interpreting Services. The form implements Public Contract Code Sections 10475-10481, which establishes compliance requirements for companies with business activities or operations outside the United States within the previous three years. Companies meeting this criterion must certify their eligibility to bid on State of California contracts by demonstrating either that they are not a scrutinized company or that they have obtained written permission from the Department of General Services to proceed with their proposal submission. Companies without any international business activities or operations during the three-year lookback period are exempt from completing this certification.
The form provides two options for eligible companies. Option 1 requires non-scrutinized companies to complete a certification statement under penalty of perjury, signed by an authorized representative, confirming their eligibility status and providing company name and Federal ID number. Option 2 accommodates scrutinized companies that have obtained case-by-case written permission from the Department of General Services Director, requiring submission of a copy of that written authorization along with the bid or proposal. Failure to provide the appropriate certification or permission documentation will render a bid ineligible for consideration.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| ex_1__dvbe_program_requirements.pdf | ||
| att_5__bidder_references.docx | DOCX document | |
| att_16__bidder_summary__dgs_pd_5266.pdf | ||
| att_2__minimum_qualifications_cert.docx | DOCX document | |
| att_13__payee_data_record___std_204_rev_3.2021_.pdf | ||
| att_6__sub_references.docx | DOCX document | |
| att_14__ca_civil_rights_laws_cert__dgs_ols_04.pdf | ||
| exhibit_2_-_sample_agreement.pdf | ||
| att_1__required_attach_checklist.docx | DOCX document | |
| att_11__contractor_certification_clause__ccc_04.2017.pdf | ||
| att_15__target_area_contract_preference_act__std_8300.pdf | ||
| att_10__cuf_evaluation.pdf | ||
| att_4__rate_sheet.docx | DOCX document | |
| att_9__dvbe_sub_agreement.docx | DOCX document | |
| ifb_25-3065.pdf | ||
| att_3__bid.bidder_cert_sheet.pdf | ||
| att_8__dvbe_declerations__dgs_pd_843.pdf | ||
| att_7__bidder_declaration__gspd-05-105.pdf |
Show all 18
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.
IFB 25-3065
California Department of Social Services
Attachment 12
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
Printed Name and Title of Person
IFB 25-3065
California Department of Social Services
Attachment 12
File details come from the government source that posted it. Updated .