Darfur_Contracting_Act_Cert_form.docx
DOCX document 14 KB Posted
- Solicitation number
- 03-1055-4
- Issued by
- California
About this file
This is a Darfur Contracting Act Certification form required for bidders on a California Environmental Protection Agency (CalEPA) informal competitive solicitation for vending machine equipment. The solicitation seeks two frozen food vending machines, two beverage vending machines, and two classic chilled snack vending machines. Bidders must complete this certification form to establish eligibility to submit a bid or proposal in accordance with Public Contract Code section 10478.
The certification form requires bidders to declare their international business activities status by selecting one of three options: confirming no business operations outside the United States in the previous three years, disclosing status as a scrutinized company with written Department of General Services permission to bid, or certifying non-scrutinized status despite having international business activities. Bidders must provide their company name, Federal ID Number, and appropriate authorization signatures and dates. The form serves as a compliance mechanism to ensure that only eligible vendors meeting California's Darfur Contracting Act requirements can proceed with bid submission.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| PD_843_DISABLED_VETERAN_BUSINESS_ENTERPRISE_DECLARATIONS.pdf | ||
| Attachment__2_Specifications_for_Vending_Machines__007_.docx | DOCX document | |
| Attachment__1_-_Request_for_Quote_Requirements__VM_.docx | DOCX document | |
| DR815_Request_for_Quote.pdf | ||
| Post-Consumer_Recycled_Content_Certification.pdf | ||
| Attachment__3_-_Delivery_Installation_Instructions.docx | DOCX document | |
| Bidder_Declaration.docx | DOCX document | |
| std204.pdf | ||
| RFQ_Letterhead.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 |
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