Attachment_6_-_Darfur_Contracting_Act_Certification.docx
DOCX document 26 KB Posted
- Attached to
- RFP 25-03 Employee Assistance Program
- Solicitation number
- 0000036100
- Issued by
- California
About this file
This document is a Darfur Contracting Act Certification attachment for RFP 25-03 for an Employee Assistance Program, specifically related to Public Contract Code section 10478. The certification requires bidders who have conducted business activities outside the United States within the previous three years to either certify they are not a "scrutinized company" or obtain written permission from the Court to submit a proposal.
The certification provides three options for bidders: (1) affirm no business activities outside the United States in the past three years, (2) confirm receipt of written Court permission despite being a "scrutinized company," or (3) certify they are not a "scrutinized company" while having conducted business internationally. Bidders must complete the document by providing company name, federal ID number, and authorized signatures, with the certification made under penalty of perjury and subject to California state laws. The document appears to be part of a compliance mechanism to ensure ethical contracting practices, particularly concerning business operations in regions like Darfur.
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Text version
RFP 25-03 Employee Assistance ProgramATTACHMENT 6 darfur contracting act certification Pursuant to Public Contract Code (PCC) section 10478, if a Bidder currently or within the previous three years has had business activities or other operations outside of the United States, it must either (i) certify that it is not a “scrutinized company” as defined in PCC 10476, or (ii) receive written permission from the Court to submit a proposal.
To submit a proposal to the Court, the Bidder must insert its company name and Federal ID Number below and complete ONLY ONE of the following three paragraphs. To complete paragraph 1 or 2, simply check the corresponding box. To complete paragraph 3, check the corresponding box and complete the certification for paragraph 3.
| Company Name (Printed) |
| Federal ID Number |
Printed Name and Title of Person Checking Box (for paragraph 1 or 2 below)
1. We do not currently have, and we have not had within the previous three years, business activities or other operations outside of the United States.
OR
2. We are a “scrutinized company” as defined in PCC 10476, but we have received written permission from the Court to submit a proposal pursuant to PCC 10477(b). A copy of the written permission from the Court is included with our proposal.
OR
3. We currently have, or we have had within the previous three years, business activities or other operations outside of the United States, but we certify below that we are not a “scrutinized company” as defined in PCC 10476.
CERTIFICATION FOR PARAGRAPH 3:
I, the official named below, CERTIFY UNDER PENALTY OF PERJURY, that I am duly authorized to legally bind the Bidder to the clause in paragraph 3. This certification is made under the laws of the State of California.
| Legal Name of Company (Printed): |
| Federal ID Number: |
| Signature: |
| Date Executed: |
Printed Name and Title of Person Signing:
| Executed in the County of: |
| In the State of: |
Rev. 2020-07 Page 1 of 1
File details come from the government source that posted it. Updated .