Attachment_6_-_Darfur_Contracting_Act.pdf
PDF 179 KB Posted
- Solicitation number
- 0000038417
- Issued by
- Sacramento County, Sacramento City, West Sacramento City, California
About this file
This is a Darfur Contracting Act Certification form issued by the Department of General Services for the State of California, specifically related to RFP-25-006 for Professional Registered Parliamentarian (PRP) Services with the California Arts Council. The form applies to any company that has conducted business activities or operations outside the United States within the previous three years and wishes to bid on this state contract. The RFP seeks a Professional Registered Parliamentarian credentialed through the National Association of Parliamentarians (NAP) or the American Institute of Parliamentarians (AIP) to provide on-call advisory and procedural consulting services to support the Council's compliance with Robert's Rules of Order and governance requirements. The contractor should possess expertise in Robert's Rules of Order, experience serving as a parliamentarian for public bodies or boards, and familiarity with the Bagley-Keene Open Meeting Act. Proposals must be submitted to Procurement@arts.ca.gov from qualified entities including California independent contractors, individuals, sole proprietors, partnerships, California Certified Small Businesses, Disabled Veteran Business Enterprises, 501(c)(3) organizations, private for-profit organizations, and organizations with joint powers agreements based in California.
The certification form requires eligible companies to select one of two options: either certify under penalty of perjury that the prospective proposer is not a scrutinized company per Public Contract Code Section 10476, or provide written permission from the Department of General Services if the company is a scrutinized company. A scrutinized company is defined as one with business activities or operations outside the United States within the previous three years. The form requires completion of company name, Federal ID Number, authorized signature, and printed name and title of the signing official. Companies that have not engaged in any business activities or operations outside the United States during the three-year period are exempt from this certification requirement.
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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.
DEPARTMENT OF GENERAL SERVICES
PROCUREMENT DIVISION
STATE OF CALIFORNIA
DARFUR CONTRACTING ACT CERTIFICATION
DGS PD 1 (Rev. 12/19)
Date
Carla Pareja Highlight
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
By (Authorized Signature)
Printed Name and Title of Person Signing
Date
Carla Pareja Highlight
Carla Pareja Highlight
| OPTION #1 - CERTIFICATION |
| OPTION #2 – WRITTEN PERMISSION FROM DGS |
| Federal ID Number: |
| Printed Name and Title of Person Signing: |
| CompanyVendor Name Printed_2: |
| Federal ID Number_2: |
| Printed Name and Title of Person Initialing: |
| CompanyVendor Name: |
| ADA Instructions: |
| Date of signature: |
| Date of signature 2: |
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