Darfur_Contracting_Act_Cert_form.docx
DOCX document 14 KB Posted
- Attached to
- Enoch Christofferson SRRA Northbound
- Solicitation number
- 03-0813NB-
- Issued by
- California
About this file
This is a Darfur Contracting Act Certification form required by the State of California for the Enoch Christofferson SRRA Northbound vending machine solicitation. The form implements Public Contract Code section 10478 and applies to all bidders and proposers with business activities or operations outside the United States within the previous three years. The solicitation is an informal competitive request for four categories of vending equipment: one frozen vending machine, one hot drink vending machine, three vandal-resistant merchandiser snack machines, and four cold drink vending machines.
Bidders must complete the certification by selecting one of three options: certify that they have no business activities outside the United States in the previous three years, declare that they are a scrutinized company with written permission from the Department of General Services to submit a bid, or certify that while they have international business activities, they do not meet the definition of a scrutinized company under Public Contract Code section 10476. The certification requires completion by an authorized company representative, including printed company name, Federal ID Number, and the authorized signatory's printed name, title, signature, date, and county and state of execution. Failure to properly complete and submit this certification may render a bid ineligible for award.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| RFQ_Letterhead.docx | DOCX document | |
| std204.pdf | ||
| Attachment__1_-_Request_for_Quote_Requirements__VM_.docx | DOCX document | |
| Post-Consumer_Recycled_Content_Certification.pdf | ||
| Attachment__3_-_Delivery_Installation_Instructions.docx | DOCX document | |
| DR815_Request_for_Quote.pdf | ||
| Bidder_Declaration.docx | DOCX document | |
| DGS_PD_843.pdf | ||
| Attachment__2_Specifications_for_Vending_Machines__002_.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 .