Darfur_Contracting_Act_Cert_form.docx
DOCX document 14 KB Posted
- Attached to
- 03-0190-8 PERS Q Lincoln Plaza
- Solicitation number
- 03-0190-8
- Issued by
- California
About this file
This is a Darfur Contracting Act Certification form required for bidders and proposers on state and local contracts in California, specifically related to an informal competitive solicitation (03-0190-8 PERS Q Lincoln Plaza) for three Vendo 721 V21 10-select cold drink machines. The certification form is mandated by California Public Contract Code section 10478 and applies to any bidder or proposer that currently has or has had business activities or operations outside the United States within the previous three years. Bidders must complete one of three options: certify that they have no international business operations, declare that they are a scrutinized company with written permission from the Department of General Services to bid, or certify that despite having international operations they are not a scrutinized company as defined under Public Contract Code section 10476.
The form requires the vendor to provide their company name, Federal ID Number, and the printed name and title of the authorized person completing the certification. For Option 3, which involves certification of non-scrutinized status despite international operations, an authorized representative must sign under penalty of perjury, providing their name, title, signature, date executed, and the county and state where the certification is executed. This certification ensures compliance with California's procurement requirements and serves as a gatekeeping mechanism to prevent business with companies designated as scrutinized under state law.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment__3_-_Delivery_Installation_Instructions.docx | DOCX document | |
| RFQ_Letterhead.docx | DOCX document | |
| Attachment__1_-_Request_for_Quote_Requirements__VM_.docx | DOCX document | |
| Bidder_Declaration.docx | DOCX document | |
| DR815_Request_for_Quote.pdf | ||
| Attachment__2_Specifications_for_Vending_Machines.docx | DOCX document | |
| Post-Consumer_Recycled_Content_Certification.pdf | ||
| std204.pdf | ||
| PD_843_DISABLED_VETERAN_BUSINESS_ENTERPRISE_DECLARATIONS.pdf |
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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 .