calfire720.docx
DOCX document 447 KB Posted
- Attached to
- 3PA5F00037 RRU Large Appliances
- Solicitation number
- 0000037058
- Issued by
- Riverside County, California
About this file
This is a Darfur Contracting Act Vendor Certification form issued by the State of California Department of Forestry and Fire Protection (CAL FIRE). The form requires bidders and proposers to certify their compliance with Public Contract Code Sections 10475-10481 regarding business activities outside the United States. Vendors with current or prior business operations outside the U.S. within the previous three years must complete the certification to establish eligibility to submit bids or proposals. The form provides three certification options: vendors with no international operations may initial Option 1; vendors determined to be scrutinized companies who have received written permission from the Department of General Services may initial Option 2; or vendors with international operations who certify they are not scrutinized companies must initial Option 3 and provide an authorized signature under penalty of perjury.
The certification applies specifically to companies conducting business activities in Sudan. A "scrutinized company" is defined as a company in Sudan involved in power production, mineral extraction, oil-related activities, or military equipment production, unless it meets one of seven specified exemptions including operations with southern Sudan regional government, licenses from the Office of Foreign Assets Control, provision of services to marginalized populations or peacekeeping forces, health or education services, or formal plans to cease operations within one year. Completion of this certification form is mandatory for contract eligibility and must be executed by an authorized company representative.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| std204.pdf | ||
| CalRecycle_Form_74.pdf | ||
| Bidder_Declaration.pdf | ||
| std205.pdf | ||
| RFQ_3PA5F00037_Large_Appliances_10.28.25.pdf | ||
| Bidder_Instructions.pdf |
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Text version
STATE OF CALIFORNIA, NATURAL RESOURCES AGENCY Page 1 of 1
DEPARTMENT OF FORESTRY AND FIRE PROTECTION
DARFUR CONTRACTING ACT VENDOR CERTIFICATION
CAL FIRE-720 (REV. 08/21)
DARFUR CONTRACTING ACT VENDOR CERTIFICATION
Pursuant to Public Contract Code Section 10475-10481, if a bidder or proposer currently, or within the previous three years, has had business activities or other operations outside of the United States, it must certify that it is not a “scrutinized company” as defined in Public Contract Code Section 10476 (see attached definition).
Therefore, to be eligible to submit a bid or proposal, please complete the company/vendor information and one of the three following clauses (NOTE: Clause #1 requires initials only; Clause #2 requires initials only; Clause #3 requires initials and a certification signature):
DATE
FEDERAL ID NUMBER
PRINTED COMPANY / VENDOR NAME
PRINTED NAME AND TITLE OF AUTHORIZED PERSON INITIALING AN OPTION BELOW
Complete ONLY ONE of the following:
1.
We do not currently have, and have not had within the previous three (3) years, business activities or other operations outside of the United States.
Initials only
OR
2.
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 (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.
Initials only
OR
3.
We currently have, or we have had within the previous three (3) 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 Public Contract Code Section 10476.
Initials only certification below
CERTIFICATION for #3 I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that I am duly authorized to legally bind the prospective proposer/bidder to the clause listed above in #3. This certification is made under the laws of the State of California.
BY (AUTHORIZED SIGNATURE)
PRINTED NAME AND TITLE OF AUTHORIZED PERSON SIGNING
DATE EXECUTED
EXECUTED IN THE COUNTY AND STATE OF
DEFINITION of SCRUTINIZED COMPANY
PUBLIC CONTRACT CODE SECTION 10476
10476. As used in this article, the following definition applies:
"Scrutinized company" means a company in Sudan that is involved in power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, but excludes a company that can demonstrate any of the following:
(a) Its business operations are conducted under contract directly and exclusively with the regional government of southern Sudan.
(b) Its business operations are conducted under a license from the Office of Foreign Assets Control or are expressly exempted under federal law from the requirement to be conducted under such a license.
(c) Its business operations consist of providing goods or services to marginalized populations of Sudan.
(d) Its business operations exclusively consist of providing goods or services to an internationally recognized peacekeeping force or humanitarian organization.
(e) Its business operations consist of providing goods or services that are used only to promote health or education.
(f) Its business operations with the Government of Sudan will be voluntarily suspended for the entire duration of the contract for goods or services for which they have bid on, or submitted a proposal for, a contract with a state agency.
(g) It has adopted, publicized, and is implementing a formal plan to cease business operations within one year and to refrain from conducting any new business operations.
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