calfire720.pdf
PDF 184 KB Posted
- Attached to
- Fire Station Lockers 4PA6M0028
- Solicitation number
- 0000040611
- Issued by
- Tuolumne County, Cedar Ridge CDP, California
About this file
This is a Darfur Contracting Act Vendor Certification form (CAL FIRE-720) issued by the State of California, Department of Forestry and Fire Protection, applicable to the Fire Station Lockers procurement (RFQ Package #4PA6M0028) for CAL FIRE's Baseline Fire Center facility in Jamestown, California, located in Tuolumne County. The certification form is mandatory for all bidders and proposers who have conducted business activities or operations outside the United States within the previous three years. Bidders must complete the vendor information section and select one of three certification options acknowledging their international business status and confirming compliance with Public Contract Code Sections 10475-10481.
The form requires vendors to certify under penalty of perjury that they are not a "scrutinized company" as defined by Public Contract Code Section 10476, which pertains to companies operating in Sudan involved in power production, mineral extraction, oil-related activities, or military equipment production. Vendors must initial their selected certification option; if selecting Option #3 (certification of non-scrutinized status despite international operations), an authorized company representative must provide a dated signature along with printed name and title. The form includes specific exemptions allowing scrutinized companies to proceed if they meet defined criteria, including operations exclusively with southern Sudan's regional government, licensing under the Office of Foreign Assets Control, provision of goods or services to marginalized populations or peacekeeping forces, health or education-focused operations, or voluntary suspension of government operations for the contract duration.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| std205.pdf | ||
| Std204.pdf | ||
| Request_for_Quote-_4PA6M0028_Lockers.pdf | ||
| Cal_Recycle_Form.pdf | ||
| Bidder_Declaration.pdf |
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Text version
STATE OF CALIFORNIA, NATURAL RESOURCES AGENCY Page 1 of 2
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
STATE OF CALIFORNIA, NATURAL RESOURCES AGENCY Page 2 of 2
DEPARTMENT OF FORESTRY AND FIRE PROTECTION
DARFUR CONTRACTING ACT VENDOR CERTIFICATION
CAL FIRE-720 (REV. 08/21)
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.
File details come from the government source that posted it. Updated .