-_CP-Darfur_Contracting_Certification.doc

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Attached to
Addendum 1: Wheelchair mobility device
Solicitation number
118-276600
Issued by
California

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This document is a certification required for bidders or proposers on a California state contract opportunity. It stipulates that if a bidder or proposer has had business activities or operations outside of the United States within the previous three years, they must certify that they are not a "scrutinized" company as defined in the Public Contract Code. Bidders must initial one of three paragraphs to indicate whether they meet this requirement or have received written permission from the Department of General Services to submit a bid despite being a scrutinized company.

The certification must be signed by an authorized representative of the bidding company under penalty of perjury. This requirement applies to all bids or proposals submitted for the state contract opportunity, regardless of the products or services being provided.

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Pursuant to Public Contract Code section 10478, 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.

Therefore, to be eligible to submit a bid or proposal, please insert your company name and Federal ID Number and complete only one of the following three paragraphs (via initials for Paragraph # 1 or Paragraph # 2, or via initials and certification for Paragraph # 3):

Company/Vendor Name (Printed)

Federal ID Number

Printed Name and Title of Person Initialing (for Options 1 or 2)

1. _____ We do not currently have, and have not had within the previous

Initials three years, business activities or other operations outside of the United States.

OR

2. _____ We are a scrutinized company as defined in Public Contract Code

Initials 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.

OR

3. _____ We currently have, or we have had within the previous three years, Initials business activities or other operations outside of the United States, + certification but we certify below that we are not a scrutinized company below as defined in Public Contract Code section 10476.

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 Person Signing

Date Executed
Executed in the County and State of

File details come from the government source that posted it. Updated .