Attachment_12,_Darfur_Cert,_dgs_pd_1.pdf
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- Attached to
- IFB 24-3089 - Pre-Scheduled Interpreter
- Solicitation number
- 0000034362
- Issued by
- California
About this file
This is a Darfur Certification form required by the California Department of Social Services and Department of General Services for IFB 24-3089. The document outlines certification requirements under Public Contract Code Sections 10475-10481 for companies that have had business activities outside the United States within the previous three years.
The form provides two options for vendors: Option #1 allows companies to certify they are not a scrutinized company as defined in Public Contract Code 10476, while Option #2 requires written permission from the Department of General Services if the company is deemed a scrutinized company but wishes to bid on the contract. Companies that have not conducted business outside the US in the past three years are exempt from completing this form.
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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.
IFB 24-3089
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 24-3089
California Department of Social Services
Attachment 12
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