CALIFORNIA_CIVIL_RIGHTS_LAWS_ATTACHMENT.pdf
PDF 26 KB Posted
- Attached to
- RFQ A241013475
- Solicitation number
- 0000033891
- Issued by
- California
About this file
This is a California Civil Rights Laws Attachment form (DGS OLS 04, Rev. 01/17) issued by the State of California Department of General Services, Office of Legal Services. The document requires certification from any person submitting a bid/proposal or renewing a contract valued at $100,000 or above with a state agency. The certification requirements became effective for contracts executed or renewed after January 1, 2017.
The form requires contractors to certify compliance with two key elements: 1) adherence to California Civil Rights Laws, including the Unruh Civil Rights Act and Fair Employment and Housing Act, and 2) confirmation that any internal policies against sovereign nations or peoples recognized by the United States government do not violate these civil rights laws. The certification must be signed under penalty of perjury and requires the contractor's firm name, Federal ID number, authorized signature, printed name and title of signer, county and state of execution, and execution date.
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Text version
STATE OF CALIFORNIA DEPARTMENT OF GENERAL SERVICES
CALIFORNIA CIVIL RIGHTS LAWS ATTACHMENT OFFICE OF LEGAL SERVICES
DGS OLS 04 (Rev. 01/17)
Pursuant to Public Contract Code section 2010, a person that submits a bid or proposal to, or otherwise proposes to enter into or renew a contract with, a state agency with respect to any contract in the amount of $100,000 or above shall certify, under penalty of perjury, at the time the bid or proposal is submitted or the contract is renewed, all of the following:
1. CALIFORNIA CIVIL RIGHTS LAWS: For contracts executed or renewed after January 1, 2017, the contractor certifies compliance with the Unruh Civil Rights Act (Section 51 of the Civil Code) and the Fair Employment and Housing Act (Section 12960 of the Government Code); and
2. EMPLOYER DISCRIMINATORY POLICIES: For contracts executed or renewed after January 1, 2017, if a Contractor has an internal policy against a sovereign nation or peoples recognized by the United States government, the Contractor certifies that such policies are not used in violation of the Unruh Civil Rights Act (Section 51 of the Civil Code) or the Fair Employment and Housing Act (Section 12960 of the Government Code).
CERTIFICATION
I, the official named below, certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
By (Authorized Signature)
Printed Name and Title of Person Signing
Executed in the County of Executed in the State of
Date Executed
Proposer/Bidder Firm Name (Printed) Federal ID Number
| ProposerBidder Firm Name Printed: |
| Federal ID Number: |
| Printed Name and Title of Person Signing: |
| Executed in the County of: |
| Executed in the State of: |
| mm/dd/yyyy: |
| Signature: |
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