attachment_10_darfur_cert.pdf
PDF 2 MB Posted
- Attached to
- RFP 24-3003 ICWA Training
- Solicitation number
- 0000030954
- Issued by
- California
About this file
This document is an attachment related to a Request for Proposal (RFP) issued by the California Department of Social Services. The RFP, titled "ICWA Training" (RFP 24-3003), seeks a contractor to develop curriculum and provide training sessions to tribal Indian Child Welfare advocates to strengthen their courtroom advocacy skills. The attachment provides instructions for companies bidding on the contract to certify whether they are a "scrutinized company" that has had business activities or operations outside of the United States within the previous three years. Companies meeting this criteria must either certify that they are not a scrutinized company or obtain written permission from the Department of General Services to submit a bid or proposal.
The RFP requires bidders to complete and submit the certification form provided in the attachment. The contract term and any renewal options are not specified in the provided information.
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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.
RFP 24-3003
California Department of Social Services
Attachment 10
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
RFP 24-3003
California Department of Social Services
Attachment 10
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