Darfur_Contracting_Act_Cert_form.docx
DOCX document 14 KB Posted
- Attached to
- 03-0863. 9 Sacramento State Prison
- Solicitation number
- 03-0863.9
- Issued by
- California
About this file
This is a Darfur Contracting Act Certification form required by the State of California for state and local contract opportunities. The form mandates that any bidder or proposer with business activities or operations outside the United States within the previous three years must certify their compliance status regarding "scrutinized" company classifications under Public Contract Code sections 10476 and 10478. Bidders must complete the form by selecting one of three options: certifying they have no foreign business activities, declaring scrutinized company status with written permission from the Department of General Services to proceed, or certifying foreign business activities while confirming they do not meet the definition of a scrutinized company. The form requires entry of the company name, Federal ID Number, and printed name and title of the initialing or signing individual.
For Option 3, the form requires a formal certification under penalty of perjury from an authorized company official, who must sign the document and identify the county and state where the certification was executed. This certification mechanism ensures that prospective bidders and proposers acknowledge California's statutory requirements regarding international business operations and compliance with Darfur-related sanctions provisions. Submission of the completed form is mandatory for bid and proposal eligibility, and failure to properly certify or provide required documentation may result in bid rejection or disqualification from the procurement process.
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Text version
DARFUR CONTRACTING ACT CERTIFICATION
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 section 10476, Initials 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 .