calfire720.docx

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Attached to
IFB 3PA5A01465 RRU Turnout Pants
Solicitation number
0000038876
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) for use in the Invitation to Bid (IFB) 3PA5A01465 for Structural Turnout Pants, Category 1, for the Riverside Unit (RRU) located in Perris, California. The certification form is mandatory for all bidders and proposers and requires vendors to declare their business operations status regarding activities outside the United States within the previous three years. Bidders must complete the vendor information section, including their Federal ID number, company name, and authorized representative information, and then select and complete one of three certification options: confirming no international business activities, demonstrating written permission from the Department of General Services as an approved scrutinized company, or certifying that despite international operations, the company does not meet the definition of a scrutinized company under California Public Contract Code Section 10476.

The form requires vendors to attest that they are not engaged in prohibited business activities in Sudan, including power production, mineral extraction, oil-related activities, or military equipment production, unless they qualify for one of seven specific exemptions detailed in the statute. Depending on which certification option is selected, the authorized company representative must provide initials only for options one and two, or initials plus a notarized signature under penalty of perjury for option three, executed in the county and state where authorized. This certification is a compliance requirement for bid eligibility and must be submitted with the bid or proposal package for the turnout pants procurement.

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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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