Attachment_6_-_Darfur_Contracting_Act.pdf

PDF 179 KB Posted

Attached to
RFP-26-015 Reasonable Accommodation, Ergonomics and Training Services
Solicitation number
0000040582
Issued by
Sacramento County, Sacramento City, West Sacramento City, California

About this file

This is a Darfur Contracting Act Certification form applicable to the California Arts Council's RFP-26-015 for Reasonable Accommodation, Ergonomics and Training Services. The certification requirement applies to any company that has conducted business activities or operations outside the United States within the previous three years. The California Arts Council seeks a single qualified contractor to provide comprehensive professional services in reasonable accommodation, ergonomics, and training support. The contract will be awarded to one vendor and will have a three-year term. The deadline for submission is October 22, 2026 at 5:00 PM, with all bids to be emailed to Procurement@arts.ca.gov. Eligible bidders include California independent contractors, individuals, sole proprietors, partnerships, California Certified Small Businesses, Disabled Veteran Business Enterprises, 501(c)(3) organizations registered in California, private for-profit organizations, and organizations with joint powers agreements based in California.

Companies with international business operations must certify compliance under Public Contract Code Sections 10475-10481 by completing either Option #1, certifying that the company is not a scrutinized company, or Option #2, providing written permission from the Department of General Services if the company is deemed scrutinized. Companies without international business activities within the previous three years are exempt from this certification requirement. All bidder questions should be directed to Procurement@arts.ca.gov, with responses posted publicly for all applicants to view. Key action dates are subject to change and will be communicated through addenda posted to the event posting.

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Other files

File Type Posted
Attachment_14_-_Confirmation_Letter_DVBE__if_applicable_.pdf PDF
Attachment_15_-_Eval_Plan___Scoring_RFP-26-015.xlsx XLSX spreadsheet
Attachment_4_-_Confidentiality_Statement.pdf PDF
Attachment_18_-_STD_817_DVBE_Subcontractor__if_applicable_.pdf PDF
Attachment_3_-_Bidder_Dec_GSPD-05-105.pdf PDF
Attachment_19_-_STD_213_Std_Agreement__reference_only_.pdf PDF
Attachment_10_-_Contractor_Certification_Clauses.pdf PDF
Attachment_5_-_Cost_Proposal_RFP-26-015.xlsx XLSX spreadsheet
Attachment_17-_CUF_Evaluation_Worksheet__reference_only_.pdf PDF
Attachment_20_-_Key_Action_Dates_RFP-26-015_v10.07.26.pdf PDF
Attachment_2_-_Bidder-Proposer_Cert_Sheet.pdf PDF
Attachment_9_-_Payee_Data_Record_STD_204.pdf PDF
Attachment_8_-_Workers__Comp_Certification.pdf PDF
Attachment_16_-_Client_Reference_Form.pdf PDF
Attachment_22_-_DGS-PD_525_Manufacturers_Summary.pdf PDF
Attachment_13_-_DGS_PD_843_DVBE_Dec__if_applicable_.pdf PDF
Attachment_21_-_STD_830_TACPA_Preference_Req.pdf PDF
Attachment_7-_Individual___Sole_Proprietor.pdf PDF
RFP_RA-Ergo-Training_v10.07.26_1046AM.pdf PDF
Attachment_1_-_Reqd_Attachment_Checklist_RFP26015.pdf PDF
Attachment_12_-_Intellectual_Property___Copyright_Language.pdf PDF
Attachment_11-_GenAI_Notification_Clause.pdf PDF
Attachment_23_-_DGS-PD_526_Bidder_s_Summary.pdf PDF
Show all 23

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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:

File details come from the government source that posted it. Updated .