-_CP-Darfur_Contracting_Certification.doc

38 KB Posted

Attached to
Power Wheelchair
Solicitation number
214-343691
Issued by
Los Angeles County, East Los Angeles CDP, Lake Los Angeles CDP, Los Angeles City, California

About this file

Written by GovTribe AI ·

This is a Darfur Contracting Certification form required by the State of California's Department of General Services (DGS) under Public Contract Code section 10478. The document requires bidders and proposers to certify their business activities outside the United States within the previous three years and confirm they are not a "scrutinized company" as defined in Public Contract Code section 10476.

The certification provides three options for vendors: (1) certify they have no business activities outside the US within the past three years, (2) acknowledge they are a scrutinized company but have received written DGS permission to bid, or (3) confirm they have international business activities but are not a scrutinized company. For the third option, vendors must sign under penalty of perjury. The form requires the company name, federal ID number, authorized signature, and execution details including date and location.

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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 .