BMB-009.pdf
PDF 139 KB Posted
- Attached to
- 25CSB-158S Extreme Heat RFP
- Solicitation number
- 0000038836
- Issued by
- California
About this file
This is a Darfur Contracting Act Certification form issued by the California Department of Insurance (CDI) for use in conjunction with state contract opportunities. The form requires prospective bidders and proposers to certify their compliance with Public Contracts Code sections 10475-10481, which applies to any company with business activities or operations outside the United States within the previous three years. Bidders must select one of three options: certify that the company has no international operations, certify that the company has international operations but is not a scrutinized company, or provide written permission from the Department of General Services (DGS) authorizing a scrutinized company to submit a proposal. The form requires completion by an authorized company representative under penalty of perjury, including the company name, Federal ID Number, signature, date, and printed name and title.
This certification document is applicable to the Extreme Heat Protection Gap Research Project for Local Governments (RFP #25CSB-158S), a consulting services contract with CDI to develop supplemental research on extreme heat impacts across California. The contractor will identify and assess geographically disproportionately impacted areas, analyze insured and uninsured costs to local governments, evaluate insurance coverage gaps, and explore innovative risk transfer tools such as parametric insurance and catastrophe bonds, with particular attention to differential health impacts across population subgroups. The written question submittal deadline is April 24, 2026 at 5:00 PM PST, and the final proposal submission deadline is May 8, 2026 at 4:00 PM PST, with all submissions directed to BMB_Procurement@insurance.ca.gov.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 25CSB-158S_DRAFT_RFP_Extreme_Heat_RFP_FINAL.pdf | ||
| 25CSD-158S_-_Cost_Proposal-Work_Plan_Workbook_FINAL.xlsx | XLSX spreadsheet | |
| IFB_127352_-_Job_Walk_Sign_In_-_BLDG_59_Demolition.pdf |
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Text version
STATE OF CALIFORNIA - DEPARTMENT OF INSURANCE
DARFUR CONTRACTING ACT CERTIFICATION
CDI-FBMD-BMB 009 (New 05/2025)
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 (DGS) to submit a proposal.
Please see Public Contracts Code, section 10476 for a definition of scrutinized company.
OPTION #1 - NOT APPLICABLE
If your company has not, within the previous three years, had any business activities or other operations outside of the United States.
I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that the prospective proposer/bidder named below has not, within the previous three years, had any business activities or other operations outside of the United States.
Company / Vendor Name (Printed) Federal ID Number
By (Authorized Signature) Date
Printed Name and Title of Person Signing
OPTION #2 – 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.
Company / Vendor Name (Printed) Federal ID Number
By (Authorized Signature) Date
Printed Name and Title of Person Signing
OPTION #3 - WRITTEN PERMISSION FROM DGS
Pursuant to Public Contract Code section 10477(b), the Director of the DGS 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.
We are a scrutinized company as defined in Public Contract Code section 10476, but we have received written permission from the DGS 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) Date
Printed Name and Title of Person Signing
| Company / Vendor Name 1: |
| Federal ID Number 1: |
| Date 1: |
| Print Name and Title 1: |
| Company / Vendor Name 2: |
| Federal ID Number 2: |
| Date 2: |
| Print Name and Title 2: |
| Company / Vendor Name 3: |
| Federal ID Number 3: |
| Date 3: |
| Print Name and Title 3: |
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