Darfur_Contracting_Act_Cert_form.docx
DOCX document 14 KB Posted
- Attached to
- PLEASANT VALLEY STATE PRISON
- Solicitation number
- 03-0883A
- Issued by
- Fresno County, Concord City, California
About this file
This is a Darfur Contracting Act Certification form for the State of California, specifically for a competitive solicitation at Pleasant Valley State Prison seeking four chilled snack vending machines and six combo snack vending machines. Bidders and proposers are required to complete this certification form as a condition of eligibility to submit a bid or proposal. The form requires companies to provide their name, Federal ID Number, and the printed name and title of the authorized representative initialing or signing the document.
Vendors must certify their compliance with Public Contract Code section 10478 by selecting one of three options: confirming they have not conducted business activities or operations outside the United States within the previous three years; declaring they are a scrutinized company but have received written permission from the Department of General Services to submit a bid; or certifying they have conducted international business activities but are not a scrutinized company as defined under Public Contract Code section 10476. For option three, an authorized representative must execute a certification under penalty of perjury, including their printed name, title, date, and the county and state where the certification was executed. This certification is a mandatory compliance requirement for all potential bidders on this state procurement opportunity.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Bidder_Declaration.docx | DOCX document | |
| DGS_PD_843.pdf | ||
| Attachment__1_-_Request_for_Quote_Requirements__VM_.docx | DOCX document | |
| Attachment__3_-_Delivery_Installation_Instructions.docx | DOCX document | |
| DR815_Request_for_Quote.pdf | ||
| Post-Consumer_Recycled_Content_Certification.pdf | ||
| RFQ_Letterhead.docx | DOCX document | |
| std204.pdf | ||
| Attachment__2_Specifications_for_Vending_Machines.docx | DOCX document | |
| 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 .