Darfur_Contracting_Act_Cert_form.docx

DOCX document 14 KB Posted

Attached to
06-0819D
Solicitation number
06-0819D
Issued by
California

About this file

This is a Darfur Contracting Act Certification form required by the State of California for an informal competitive solicitation (06-0819D) involving 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 solicitation seeks six snack vending machines and three cold drink vending machines.

The certification requires bidders to select one of three options: certify they have no international business activities, provide written permission from the Department of General Services if classified as a scrutinized company, or certify they have international operations but are not a scrutinized company as defined under Public Contract Code section 10476. Bidders must provide their company name, Federal ID Number, and authorized signature with printed name, title, and execution date and location. This certification is made under penalty of perjury under California law and is mandatory for bid submission eligibility.

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Other files

File Type Posted
Bidder_Declaration.docx DOCX document
ATTACHMENT_J._California_Civil_Rights_Certification.docx DOCX document
RFQ_Letterhead.docx DOCX document
DGS_PD_843.pdf PDF
Attachment__3_-_Delivery_Installation_Instructions.docx DOCX document
Attachment__2_Specifications_for_Vending_Machines.docx DOCX document
Post-Consumer_Recycled_Content_Certification.pdf PDF
Attachment__1_-_Request_for_Quote_Requirements_(VM).docx DOCX document
DR815_Request_for_Quote.pdf PDF

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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 .