Darfur_Contracting_Act_Cert_form.docx
DOCX document 14 KB Posted
- Attached to
- 03-0813. 1 Enoch Christoffersen Roadside Rests
- Solicitation number
- 03-0813.1
- Issued by
- California
About this file
This is a Darfur Contracting Act Certification form required by the State of California for bidders and proposers on the 03-0813.1 Enoch Christoffersen Roadside Rests solicitation, a small business contract opportunity. The solicitation requests quotes for vending machines to be placed at roadside rest areas, specifically: two combo frozen and ice cream vending machines, two Evoke hot coffee vending machines, six vandal-resistant merchandiser snack machines, and eight drink vending machines. Bidders are permitted to propose equivalent items meeting specified quality standards, provided they clearly describe any substitutions and how they differ from the referenced brand names and model numbers.
The certification form requires all bidders or proposers who currently have or have had business activities or operations outside the United States within the previous three years to declare their status as either a non-scrutinized company, a scrutinized company with written permission from the Department of General Services to bid, or to provide certification under penalty of perjury that they are not a scrutinized company as defined in Public Contract Code section 10476. Completion of the form requires submission of company name, Federal ID number, and appropriate initials or signature from an authorized representative, with the certification executed in the County and State of California.
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Other files
| File | Type | Posted |
|---|---|---|
| Bidder_Declaration.docx | DOCX document | |
| Attachment__2_Specifications_for_Vending_Machines.docx | DOCX document | |
| DR815_Request_for_Quote.pdf | ||
| Attachment__1_-_Request_for_Quote_Requirements_(VM).docx | DOCX document | |
| Attachment__3_-_Delivery_Installation_Instructions.docx | DOCX document | |
| std204.pdf | ||
| RFQ_Letterhead.docx | DOCX document | |
| Post-Consumer_Recycled_Content_Certification.pdf | ||
| DGS_PD_843.pdf |
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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 .