Darfur_Contracting_Act_Cert_form.docx
DOCX document 14 KB Posted
- Attached to
- Sacramento State Prison
- Solicitation number
- 03-0863E
- Issued by
- California
About this file
This is a Darfur Contracting Act Certification form required by the State of California for the Sacramento State Prison informal competitive solicitation for vending machines. 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 requires companies to insert their name and Federal ID Number and select one of three options: certifying they have no international business activities, confirming they are a scrutinized company with written Department of General Services permission, or certifying they have international operations but are not a scrutinized company as defined under Public Contract Code section 10476.
The certification requires initials from an authorized representative for options one and two, and for option three, a full signature under penalty of perjury from a duly authorized official who can legally bind the prospective bidder or proposer. The signatory must provide printed name, title, date executed, and the county and state where the certification was executed. This form serves as a compliance document to ensure that only non-scrutinized companies, or those with proper DGS authorization, may submit bids for the Sacramento State Prison's request for four frozen vending machines and four cold food vending machines.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| RFQ_Letterhead.docx | DOCX document | |
| Attachment__4_-_Correctional_Institution.docx | DOCX document | |
| Bidder_Declaration.docx | DOCX document | |
| DGS_PD_843.pdf | ||
| Post-Consumer_Recycled_Content_Certification.pdf | ||
| DR815_Request_for_Quote.pdf | ||
| Attachment__2_Specifications_for_Vending_Machines.docx | DOCX document | |
| Attachment__3_-_Delivery_Installation_Instructions.docx | DOCX document | |
| Attachment__1_-_Request_for_Quote_Requirements_(VM).docx | DOCX document | |
| std204.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 .