Attachment_10_Darfur_Contracting_Act.pdf
PDF 497 KB Posted
- Attached to
- Herbicides and Insecticides IFB
- Solicitation number
- 0000000179
- Issued by
- California
About this file
This is a Darfur Contracting Act Certification form required by the State of California Department of General Services (DGS) under Public Contract Code Sections 10475-10481. The form provides certification options for companies bidding on or submitting proposals for California state contracts who have had business activities or operations outside the United States within the previous three years.
The form presents two options for compliance: Option #1 allows companies to certify under penalty of perjury that they are not a scrutinized company as defined in Public Contract Code 10476. Option #2 provides a path for scrutinized companies that have received written permission from DGS to bid or submit proposals, requiring them to include documentation of this permission with their submission. Companies that have not conducted business outside the US in the previous three years are exempt from completing this certification.
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| Attachment_3_Contract_Reporting_Data.xls | XLS spreadsheet | |
| QA_Set_1_Event_ID_0000000179.docx | DOCX document | |
| Attachment_1_Pricing_Worksheet.xls | XLS spreadsheet | |
| Attachment_4_Customer_Reference_Form.docx | DOCX document | |
| Event_ID_0000000179_-_Addendum_1.pdf | ||
| Attachment_2_Specifications_6813-3389.docx | DOCX document | |
| Attachment_8_DVBE_Declaration_Form_(STD_843).pdf | ||
| Event_ID_0000000179_-_Addendum_2.pdf | ||
| Event_ID_0000000179_Final.pdf | ||
| QA_Set_2_Event_ID_0000000179.pdf | ||
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Text version
REV 8/11/2010 1 of 1
DARFUR CONTRACTING ACT CERTIFICATION
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
Date Executed Executed in the County and State of
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.
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
Initials of Submitter
Printed Name and Title of Person Initialing manderso Typewritten Text manderso Typewritten Text manderso Typewritten Text manderso Typewritten Text Attachment 10
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