Darfur_Contracting_Act_Certification_Form.pdf
PDF 169 KB Posted
- Solicitation number
- C24-32738
- Issued by
- San Diego County, San Pablo City, California
About this file
This document is a Request for Bid (RFB) from the California Department of Rehabilitation (DOR) for American Sign Language (ASL) interpreting services, both in-person and via video remote interpreting (VRI), to be provided at the San Marcos Branch Office. The contract will require the selected vendor to provide RID and/or RID-NAD certified ASL interpreters on an as-needed basis for DOR staff meetings, conferences, and trainings. In-person ASL interpreting will be the core service, with VRI services requested as needed. The contract will be for services at the San Marcos location, with work hours Monday through Friday, 8:00 a.m. to 5:00 p.m. Pacific Time, excluding holidays. The selected vendor must provide proof of interpreter certifications and be available to respond to service requests within 24 hours. Failure to provide certified interpreters or missed assignments may result in corrective action or contract suspension.
Pricing terms and payment details are not provided in the RFB. The contract will be awarded to a single vendor. There is no information on incumbent vendors or the current contract environment. The funding source and requirements are also not specified.
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Other files
| File | Type | Posted |
|---|---|---|
| DVBE_INCENTIVE.pdf | ||
| Std_1000_GenAI.pdf | ||
| STD204.pdf | ||
| DGS_CERTIFIED_SB_PARTICIPATION.pdf | ||
| IFB_C24-32738.pdf |
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Text version
Public Contract Code Sections 10475 -10481 applies to any company that currently or within the previous three years has had business activities or other operations outside of the United States. For such a company to bid on or submit a proposal for a State of California contract, the company must certify that it is either a) not a scrutinized company; or b) a scrutinized company that has been granted permission by the Department of General Services to submit a proposal.
If your company has not, within the previous three years, had any business activities or other operations outside of the United States, you do not need to complete this form.
OPTION #1 - CERTIFICATION
If your company, within the previous three years, has had business activities or other operations outside of the United States, in order to be eligible to submit a bid or proposal, please insert your company name and Federal ID Number and complete the certification below.
I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that a) the prospective proposer/bidder named below is not a scrutinized company per Public Contract Code 10476; and b) I am duly authorized to legally bind the prospective proposer/bidder named below. This certification is made under the laws of the State of California.
Company/Vendor Name (Printed) Federal ID Number
By (Authorized Signature)
Printed Name and Title of Person Signing
OPTION #2 – WRITTEN PERMISSION FROM DGS
Pursuant to Public Contract Code Section 10477(b), the Director of the Department of General Services may permit a scrutinized company, on a case-by-case basis, to bid on or submit a proposal for a contract with a state agency for goods or services, if it is in the best interests of the state. If you are a scrutinized company that has obtained written permission from the DGS to submit a bid or proposal, complete the information below.
DEPARTMENT OF GENERAL SERVICES
PROCUREMENT DIVISION
STATE OF CALIFORNIA
DARFUR CONTRACTING ACT CERTIFICATION
DGS PD 1 (Rev. 12/19)
Date
We are a scrutinized company as defined in Public Contract Code section 10476, but we have received written permission from the Department of General Services 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.
Company/Vendor Name (Printed) Federal ID Number
By (Authorized Signature)
Printed Name and Title of Person Signing
Date
| OPTION #1 - CERTIFICATION |
| OPTION #2 – WRITTEN PERMISSION FROM DGS |
| Federal ID Number: |
| Printed Name and Title of Person Signing: |
| CompanyVendor Name Printed_2: |
| Federal ID Number_2: |
| Printed Name and Title of Person Initialing: |
| CompanyVendor Name: |
| ADA Instructions: |
| Date of signature: |
| Date of signature 2: |
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