Darfur_Contracting_Act_Cert_form.docx
DOCX document 14 KB Posted
- Attached to
- CORCORAN STATE PRISON
- Solicitation number
- 03-0878G
- Issued by
- California
About this file
This is a Darfur Contracting Act Certification form required for bidders and proposers on a competitive solicitation by the State of California for Corcoran State Prison to supply twelve cold beverage vending machines. Bidders must complete this certification form to establish eligibility to submit a bid or proposal. The form requires companies to disclose whether they have conducted business activities or operations outside the United States within the previous three years and to certify their status accordingly.
Bidders must select one of three certification options: confirming they have no international business activities in the past three years, declaring they are a scrutinized company with written permission from the California Department of General Services to bid, or certifying that despite having international business activities, they do not meet the definition of a scrutinized company under Public Contract Code section 10476. The form requires the company name, Federal ID Number, and the signature and title of an authorized representative. Option three requires certification under penalty of perjury, with execution details including the county and state where the document is signed.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Bidder_Declaration.docx | DOCX document | |
| RFQ_Letterhead.docx | DOCX document | |
| std204.pdf | ||
| Attachment__1_-_Request_for_Quote_Requirements__VM_.docx | DOCX document | |
| DGS_PD_843.pdf | ||
| Attachment__2_Specifications_for_Vending_Machines.docx | DOCX document | |
| Attachment__3_-_Delivery_Installation_Instructions.docx | DOCX document | |
| Post-Consumer_Recycled_Content_Certification.pdf | ||
| DR815_Request_for_Quote.pdf | ||
| Attachment__4_-_Correctional_Institution.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 .