Darfur_Contracting_Act_Cert_form.docx
DOCX document 14 KB Posted
- Attached to
- Coalinga-Avenal Safety Rest Area Northbound
- Solicitation number
- 03-0815E
- Issued by
- California
About this file
This is a Darfur Contracting Act Certification form required by the State of California for the Coalinga-Avenal Safety Rest Area Northbound vending machine solicitation. Bidders or proposers with business activities or operations outside the United States within the previous three years must complete this certification to establish eligibility. The form applies to an Informal Competitive Solicitation for four categories of vending equipment: one hot drink coffee vending machine, one combo snack and beverage outsider vending machine, one drink vending machine, and two snack vending machines. The certification requires the bidder to insert company name and Federal ID Number, then initial one of three options or provide a full certification with authorized signature.
The form presents three compliance pathways for bidders: certifying they have no international business activities in the prior three years, providing written Department of General Services permission if they are a scrutinized company, or certifying under penalty of perjury that despite having international operations they are not a scrutinized company as defined under Public Contract Code section 10476. The authorization must be executed by an official legally authorized to bind the prospective bidder, with the certification made under California law and signed with the date and county/state of execution. This certification is a prerequisite for bid submission and does not address pricing, award amounts, or contract terms separately.
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Other files
| File | Type | Posted |
|---|---|---|
| Bidder_Declaration.docx | DOCX document | |
| Attachment__2_Specifications_for_Vending_Machines.docx | DOCX document | |
| Post-Consumer_Recycled_Content_Certification.pdf | ||
| RFQ_Letterhead.docx | DOCX document | |
| DGS_PD_843.pdf | ||
| Attachment__3_-_Delivery_Installation_Instructions_(003).docx | DOCX document | |
| std204.pdf | ||
| DR815_Request_for_Quote.pdf | ||
| Attachment__1_-_Request_for_Quote_Requirements_(VM).docx | DOCX document |
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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 .