Darfur_Contracting_Act_Certification.pdf
PDF 137 KB Posted
- Attached to
- 25NC0665 Broadband Equity, Access and Deployment (BEAD) Program Administration and Oversight
- Solicitation number
- 0000039982
- Issued by
- San Francisco County, San Francisco City, California
About this file
This is a Darfur Contracting Act Certification form required for bidders and proposers on California state and local contracts, specifically applicable to the Broadband Equity, Access and Deployment (BEAD) Program Administration and Oversight opportunity (25NC0665). The certification ensures compliance with Public Contract Code section 10478, which requires bidders with business activities or operations outside the United States within the previous three years to verify they are not "scrutinized" companies as defined under Public Contract Code section 10476. Bidders must complete one of three certification options: attesting they have no international business activities, confirming they are a scrutinized company with written Department of General Services (DGS) permission to bid, or certifying they have international operations but are not scrutinized companies. The form requires submission of the company name, Federal ID Number, authorized signer information, and, for Option 3, a notarized certification under penalty of perjury.
The certification form contains no pricing terms, set-asides, or funding information, as it serves solely as a compliance documentation requirement for bid eligibility. Completion and submission of the appropriate certification option is mandatory for all bidders responding to the BEAD Program Administration and Oversight RFP, regardless of the proposer's international business status. Failure to properly complete and submit the certification with the bid or proposal may result in disqualification from consideration.
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Other files
| File | Type | Posted |
|---|---|---|
| STD213_Standard_Agreement.pdf | ||
| Commercially_Useful_Function_Certification.docx | DOCX document | |
| STD205_Payee_Data_Supplement.pdf | ||
| BEAD_cost_sheet.xlsx | XLSX spreadsheet | |
| DGS_OLS_04_Civil_Rights_Law_Form.pdf | ||
| STD204_Payee_Data_Record.pdf | ||
| Contractor_Certification_Clauses.pdf | ||
| PD843_DVBE_Declarations.pdf | ||
| RFP-2_25NC0665_BEAD_Solicitation.pdf | ||
| PD05-105_Bidder_Declaration.pdf | ||
| Iran_Contracting_Act_Verification.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 / By Authorized Signer (for Options 1 or 2)
1. _____ We do not currently have, and have not had within the previous three Initials years, business activities or other operations outside of the United States.
OR
2. _____ We are a scrutinized company as defined in Public Contract Code
Initials section 10476, 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
1.A. Interview Scoring Key
| CompanyVendor Name Printed: |
| Federal ID Number: |
| Initials: |
| Initials_2: |
| Initials_3: |
| By Authorized Signature: |
| Printed Name and Title of Person Signing: |
| Date Executed: |
| Executed in the County and State of: |
| Text1: |
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