Darfur_Contracting_Act_Certification_Form.pdf

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Attached to
IFB #S26-33366 California Department of Rehabilitation Refrigeration Service & Repair (Sacramento, West Sacramento, Santa Clara, and Sonoma Counties)
Solicitation number
S26-33366
Issued by
Sacramento County, California

About this file

Darfur Contracting Act Certification Form for California Department of Rehabilitation Refrigeration Service & Repair Contract

This file is a Darfur Contracting Act Certification Form related to an Invitation for Bid (IFB #S26-33366) issued by the California Department of Rehabilitation for commercial refrigeration service and repair across Sacramento, West Sacramento, Santa Clara, and Sonoma Counties. The contract requires the contractor to provide comprehensive refrigeration maintenance and repair services for equipment located in state, federal, county office buildings, and privately owned facilities. Services encompass refrigerators, freezers, salad bars, ice machines, frozen yogurt machines, wall-mounted air conditioning units, prep stations, and walk-in refrigeration units. Work activities include system observation and testing, dismantling malfunctioning equipment, component testing, repair and replacement of defective parts, refrigerant recovery and reclamation, electrical wiring installation, and brazing or soldering of defective joints and leaks. Service delivery is required five days per week, excluding holidays, between 7:00 a.m. and 5:00 p.m., with overtime available at time-and-one-half rates for before or after-hours work and double rates for Sunday and holiday work, all requiring prior written authorization. The contractor must provide cost estimates before authorizing services and maintain a maximum response time of four hours from service request initiation to commencement.

The Darfur Contracting Act Certification Form serves as a compliance document ensuring that bidders certify non-involvement with companies conducting business operations in Darfur, Sudan. This certification is a mandatory requirement for state contracts and verifies that contractors and their suppliers do not have restricted business activities in Darfur as defined by California law. The form is essential for contract award eligibility and reflects California's commitment to ethical procurement practices and international conflict prevention policies.

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Other files

File Type Posted
STD204.pdf PDF
DVBE_INCENTIVE.pdf PDF
DGS_CERTIFIED_SB_PARTICIPATION.pdf PDF
IFB_S26-33366.pdf 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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