Darfur_Contracting_Act_Cert_form.docx
DOCX document 14 KB Posted
- Attached to
- RFQ # 03-0813 Enoch Christofferson Roadside Rest
- Solicitation number
- 03-0813A2
- 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 RFQ #03-0813 Enoch Christofferson Roadside Rest solicitation. The certification pertains to an informal competitive solicitation for vending machine services, specifically requesting one combo frozen and ice cream vending machine, one hot coffee vending machine, three snack vending machines, and four drink vending machines. Bidders with business activities or operations outside the United States within the previous three years must complete this certification to establish eligibility to submit a bid or proposal.
The form requires bidders to certify their status under Public Contract Code sections 10476 through 10478 by selecting one of three options: confirming no international business activities in the prior three years, disclosing status as a scrutinized company with written Department of General Services permission, or certifying that despite international operations, the company does not meet the definition of a scrutinized company. Bidders selecting the third option must provide a certified statement under penalty of perjury, signed by an authorized representative, with identification of the county and state where execution occurred. Completion of this certification is mandatory for bid eligibility.
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Other files
| File | Type | Posted |
|---|---|---|
| std204.pdf | ||
| Post-Consumer_Recycled_Content_Certification.pdf | ||
| Attachment__1_-_Request_for_Quote_Requirements_(VM).docx | DOCX document | |
| DGS_PD_843.pdf | ||
| Attachment__2_Specifications_for_Vending_Machines.docx | DOCX document | |
| Bidder_Declaration.docx | DOCX document | |
| Question_and_Answer_Event__03-0813A2.docx | DOCX document | |
| Attachment__3_-_Delivery_Installation_Instructions.docx | DOCX document | |
| DR815.pdf | ||
| RFQ_Letterhead.docx | DOCX document | |
| IFB_CSSSA25116,_Attachment_8,_Cost_Sheet.xlsx | XLSX spreadsheet |
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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 .