Attachment_7_-_Darfur_Contracting_Act_Certification.pdf
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- Attached to
- RFA 20-20 Court Appointed Psychiatric Services
- Solicitation number
- 0000015808
- Issued by
- San Bernardino County, California
About this file
The document is a Darfur Contracting Act Certification form that must be completed by vendors bidding on a contract opportunity with the Court. The form requires the vendor to certify whether they currently have or have had within the previous three years, any business activities or other operations outside of the United States. If so, the vendor must either certify that they are not a "scrutinized company" as defined in the Public Contract Code, or receive written permission from the Court to bid on the contract.
The related state and local contract opportunity is RFA 20-20 Court Appointed Psychiatric Services, which is being solicited by San Bernardino County and the City of San Bernardino in California. The contract will provide court-appointed psychiatric services, but no additional details about the scope, quantities, or term of the contract are provided.
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Text version
DARFUR CONTRACTING ACT CERTIFICATION
(no bids or proposals)
Pursuant to Public Contract Code (PCC) section 10478, if a company 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 according to the criteria set forth in PCC section 10477(b).
To contract with the Court, the company must insert its legal 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.
Company Name (Printed) Federal ID Number
By (Authorized Signature)
Printed Name and Title of Person Signing
Date Executed Executed in the County of _________ in the
State of ____________
ATTACHMENT 7
| darfur contracting act certification |
| (no bids or proposals) |
File details come from the government source that posted it. Updated .