Darfur_Contracting_Act_Cert_form.docx
DOCX document 14 KB Posted
- Attached to
- 03-0813 Westley SRRA North & Southbound
- Solicitation number
- 03-0813-B
- Issued by
- California
About this file
This is a Darfur Contracting Act Certification form for the State of California related to an informal competitive solicitation by the Westley SRRA for refrigeration equipment (two 54-inch two-section reach-in refrigerators and two 27.5-cubic-foot single-door reach-in freezers). Bidders and proposers with business activities or operations outside the United States within the previous three years are required to complete this certification form as a condition of bid eligibility under California Public Contract Code section 10478.
The certification requires companies to declare their international business status and confirm their eligibility to submit a bid by selecting one of three options: attesting they have no international business activities; disclosing they are a scrutinized company with written permission from the California Department of General Services to bid; or certifying they have international business activities but are not a scrutinized company as defined in Public Contract Code section 10476. For the third option, an authorized company representative must execute the certification under penalty of perjury, providing their printed name, title, signature, and the date and county/state of execution. The form requires insertion of the company name and Federal ID Number at the top.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachment__3_-_Delivery_Installation_Instructions.docx | DOCX document | |
| Attachment__1_-_REQUEST_FOR_QUOTE_REQUIREME.docx | DOCX document | |
| Post-Consumer_Recycled_Content_Certification.pdf | ||
| std204.pdf | ||
| DR815_Request_for_Quote.pdf | ||
| PD_843_DISABLED_VETERAN_BUSINESS_ENTERPRISE_DECLARATIONS.pdf | ||
| Attachment__2_Specifications_Equipment.docx | DOCX document | |
| Bidder_Declaration.docx | DOCX document | |
| RFQ_Letterhead.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 .