Darfur_Contracting_Act.pdf

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IFB #S26-33365 Vending Machine Relocation, Installation, Removal, Service and Repair
Solicitation number
S26-33365
Issued by
California

About this file

This is a certification form issued by the Department of General Services Procurement Division for the State of California regarding compliance with the Darfur Contracting Act under Public Contract Code Sections 10475-10481. The document applies to any company that has conducted business activities or operations outside the United States within the previous three years and seeks to bid on or submit proposals for State of California contracts. Companies without international business activities during this period are exempt from this requirement. The certification process offers two options for eligible bidders: companies may certify that they are not scrutinized companies as defined under Public Contract Code Section 10476, or they may demonstrate that they have received written permission from the Department of General Services to submit a proposal despite being classified as a scrutinized company.

The form requires authorized company representatives to complete relevant sections with the company name, Federal ID Number, and authorized signature under penalty of perjury. For Option 1, bidders must certify non-scrutinized status and confirm the signatory's authority to legally bind the company. For Option 2, scrutinized companies must provide a copy of written permission from the Department of General Services Director, which may be granted on a case-by-case basis if deemed in the best interests of the state. This certification form (DGS PD 1, Rev. 12/19) constitutes a mandatory compliance requirement for all applicable bidders on State of California contracts.

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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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