Attachment_16,_CA_Civil_Rights_Laws_Cert,_dgs_ols_04.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 California Civil Rights Laws Certification form (DGS OLS 04) from the Department of General Services and California Department of Social Services, required for IFB 24-3089. The document outlines certification requirements for any contractor submitting bids or proposals for state contracts valued at $100,000 or above. The certification requirements apply to contracts executed or renewed after January 1, 2017.
The form requires contractors to certify compliance with the Unruh Civil Rights Act and Fair Employment and Housing Act, and confirm they do not maintain discriminatory policies against sovereign nations or peoples recognized by the United States government. The document requires the contractor's signature, printed name and title, federal ID number, and location of execution under penalty of perjury.
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Text version
DEPARTMENT OF GENERAL SERVICES
CALIFORNIA CIVIL RIGHTS LAWS ATTACHMENT OFFICE OF LEGAL SERVICES
DGS OLS 04 (Rev. 01/17)
Pursuant to Public Contract Code section 2010, a person that submits a bid or proposal to, or otherwise proposes to enter into or renew a contract with, a state agency with respect to any contract in the amount of $100,000 or above shall certify, under penalty of perjury, at the time the bid or proposal is submitted or the contract is renewed, all of the following:
1. CALIFORNIA CIVIL RIGHTS LAWS: For contracts executed or renewed after January 1, 2017, the contractor certifies compliance with the Unruh Civil Rights Act (Section 51 of the Civil Code) and the Fair Employment and Housing Act (Section 12960 of the Government Code); and
2. EMPLOYER DISCRIMINATORY POLICIES: For contracts executed or renewed after January 1, 2017, if a Contractor has an internal policy against a sovereign nation or peoples recognized by the United States government, the Contractor certifies that such policies are not used in violation of the Unruh Civil Rights Act (Section 51 of the Civil Code) or the Fair Employment and Housing Act (Section 12960 of the Government Code).
CERTIFICATION
I, the official named below, certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
By (Authorized Signature)
Printed Name and Title of Person Signing
Executed in the County of Executed in the State of
Date Executed
Proposer/Bidder Firm Name (Printed) Federal ID Number
IFB 24-3089
California Department of Social Services
Attachment 16
| ProposerBidder Firm Name Printed: |
| Federal ID Number: |
| Printed Name and Title of Person Signing: |
| Executed in the County of: |
| Executed in the State of: |
| mm/dd/yyyy: |
| Signature: |
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