Darfur_Contracting_Certification.doc

DOC document 38 KB Posted

Attached to
03-0886-04 Avenal State Prison Warehouse, Coalinga, Ca
Solicitation number
03-0886-04
Issued by
California

About this file

The document is a certification form required for a state and local contract opportunity in California. The solicitation is for the purchase of a 2-section refrigerator reach-in with solid doors for Avenal State Prison in Coalinga, CA. The form requires the bidder to certify whether they currently have or have had business activities outside the United States within the previous 3 years. Bidders must initial one of three paragraphs to indicate their status, and those with foreign business activities must also provide a certification. The contract opportunity ID is 03-0886-04.

The state and local contract opportunity appears to be open to all interested and qualified bidders. No additional details are provided regarding pricing terms, set-asides, incumbents, funding sources, or other salient information.

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Bidder_Declaration.docx DOCX document
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Attachment__3_-_Delivery_Installation_Instructions.docx DOCX document

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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

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

File details come from the government source that posted it. Updated .