Darfur_Contracting_Act_Cert_form.docx
DOCX document 14 KB Posted
- Attached to
- 03-0868-6 Veterans Homes of California
- Solicitation number
- 03-0868-6
- Issued by
- California
About this file
This is a Darfur Contracting Act Certification form required for bidders and proposers on California state and local contracts, specifically related to an informal competitive solicitation by Veterans Homes of California for vending machine equipment. The form serves as a compliance document pursuant to Public Contract Code section 10478, requiring eligible bidders to certify their status regarding business activities or operations outside the United States conducted within the previous three years. Bidders must select one of three certification options: confirming they have had no foreign business activities, disclosing that they are a scrutinized company with written Department of General Services approval to bid, or certifying that despite having foreign operations, they do not meet the definition of a scrutinized company under Public Contract Code section 10476.
The certification form requires completion with the bidder's company name, Federal ID Number, and authorization by a company official with legal authority to bind the organization. For Option 3, which permits bidding despite foreign operations, the authorized signatory must execute a certification under penalty of perjury, identifying themselves by printed name, title, signature, execution date, and county and state of execution. This form is a mandatory pre-bid requirement with no pricing information, contract term details, or award dates specified within the document itself, as it functions solely as a compliance and eligibility verification instrument for the vending machine solicitation.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachment__1_-_Request_for_Quote_Requirements__VM_.docx | DOCX document | |
| Post-Consumer_Recycled_Content_Certification.pdf | ||
| Attachment__3-_Delivery_Installation_Instructions.docx | DOCX document | |
| PD_843_DISABLED_VETERAN_BUSINESS_ENTERPRISE_DECLARATIONS.pdf | ||
| DR815_Request_for_Quote.pdf | ||
| std204.pdf | ||
| RFQ_Letterhead.docx | DOCX document | |
| Bidder_Declaration.docx | DOCX document | |
| Attachment__2_Specifications_for_Vending_Machines.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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