Darfur_Contracting_Certification.doc
DOC document 38 KB Posted
- Attached to
- Auto Glass Repair Tools & Supplies
- Solicitation number
- 124-621947
- Issued by
- California
About this file
This is a Darfur Contracting Certification form required by the State of California Department of General Services (DGS) for vendors submitting bids or proposals. The form implements Public Contract Code section 10478, which requires bidders to certify whether they have had business operations outside the United States within the previous three years and confirm they are not a "scrutinized company" as defined in section 10476.
The certification provides three options for vendors: 1) certify they have not had business activities outside the US in the past three years, 2) acknowledge they are a scrutinized company but have received written DGS permission to bid, or 3) certify they have/had international operations but are not a scrutinized company. The form requires the vendor's company name, Federal ID number, authorized signature, and county/state of execution. For option 3, an additional certification under penalty of perjury is required.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| RFQ_0124-621947_DR815_Additional_Attachment.xlsx | XLSX spreadsheet | |
| RFQ_PACKET_0124-621947_Auto_Glass_Repair_Supplies.docx | DOCX document | |
| DR815_Request_for_Quote_RFQ_0124-621947.pdf | ||
| -_STD1000.pdf | ||
| Bidder_Declaration.docx | DOCX document | |
| STD_204_Form.pdf | ||
| Postconsumer-Content-Certification.pdf |
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Text version
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 .