Darfur_Contracting_Act_Cert_form.docx
DOCX document 14 KB Posted
- Attached to
- Vending Machines for Westley SRRA Southbound
- Solicitation number
- 03-0813SB
- Issued by
- California
About this file
This is a Darfur Contracting Act Certification form required by the State of California for a vending machine solicitation at Westley SRRA Southbound. Bidders must complete the certification to confirm their compliance with Public Contract Code section 10478 requirements regarding international business activities. The form requires companies to select one of three options: certify they have no business operations outside the United States in the previous three years, declare they are a scrutinized company with written Department of General Services approval, or certify they have international operations but are not a scrutinized company as defined under Public Contract Code section 10476.
The certification requires submission of company name, Federal ID Number, and authorization from an official with legal binding authority. For Option 3, the signatory must execute the certification under penalty of perjury, including printed name, title, date, and county and state of execution. This certification form is a mandatory compliance document that must accompany any bid or proposal submitted for the vending machine opportunity, which includes four types of machines: one hot drink coffee vending machine, one ice cream vending machine, one snack vending machine, and one drink vending machine.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| std204.pdf | ||
| Attachment__1_-_Request_for_Quote_Requirements_(VM).docx | DOCX document | |
| DR815_Request_for_Quote.pdf | ||
| 04-2X7804.pdf | ||
| RFQ_Letterhead.docx | DOCX document | |
| Post-Consumer_Recycled_Content_Certification.pdf | ||
| Attachment__2_Specifications_for_Vending_Machines.docx | DOCX document | |
| Attachment__3_-_Delivery_Installation_Instructions_(003).docx | DOCX document | |
| Bidder_Declaration.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .