CFCC25-194RB-Attach-4-General-Certs-Form.pdf
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About this file
This document is a General Certifications Form for a Juvenile Behavioral Health In-Person Training Event, issued by the Judicial Council of California (RFP Number: CFCC25-194RB). The form requires proposers to certify compliance with specific legal and administrative requirements before submitting a proposal, with the understanding that the Judicial Council will reject any proposal that does not indicate acceptance of the specified clauses.
The form requires proposers to certify three key areas: 1) No conflict of interest under California Public Contract Code, Government Code, and California Rules of Court, 2) Not being suspended or debarred from state contracting, and 3) Not being on tax delinquency lists from the California Franchise Tax Board or California Board of Equalization. Proposers must check a box to indicate acceptance of these clauses and provide an authorized signature, printed name, title, company name, and date on the document.
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RFP Title: Juvenile Behavioral Health In-Person Training Event RFP Number: CFCC25-194RB
ATTACHMENT 4
GENERAL CERTIFICATIONS FORM
Check the box below, if agreed, and sign this attachment. Please note that the Judicial Council will reject a proposal from a Proposer that does not indicate acceptance of these clauses.
Conflict of Interest. Proposer has no interest that would constitute a conflict of interest under California Public Contract Code (PCC) sections 10365.5, 10410 or 10411; Government Code sections 1090 et seq. or 87100 et seq.; or California Rules of Court, rule 10.103 or 10.104, which restrict employees and former employees from contracting with judicial branch entities.
Suspension or Debarment. Proposer certifies that neither Proposer nor any of Proposer’s intended subcontractors is on the California Department of General Services’ list of firms and persons that have been suspended or debarred from contracting with the state because of a violation of PCC 10115.10, regarding disabled veteran business enterprises.
Tax Delinquency. Proposer certifies that it is not on either (i) the California Franchise Tax Board’s list of 500 largest state income tax delinquencies, or (ii) the California Board of Equalization’s list of 500 largest delinquent sales and use tax accounts.
Check box to indicate acceptance of the clauses above.
PROPOSER
BY (Authorized Signature)
PRINTED NAME OF PERSON SIGNING
TITLE OF PERSON SIGNING
COMPANY NAME
DATE
File details come from the government source that posted it. Updated .