DARFUR.pdf
PDF 875 KB Posted
- Attached to
- NCR-HQ-RFQ-25-E0023 Interpretive Panels
- Solicitation number
- 0000037948
- Issued by
- California
About this file
This is a Darfur Contracting Act Certification form (DFW 1080) issued by the State of California Department of Fish and Wildlife for use in state and local contracting processes. The form is required for all bidders and proposers to certify their compliance with California Public Contract Code Section 10478 regarding international business operations. Bidders must complete the certification by selecting one of three options: certify that they have no business activities or operations outside the United States in the previous three years; declare that they are a scrutinized company but have received written permission from the Department of General Services to submit a bid; or certify that while they have international business activities, they are not a scrutinized company as defined under PCC 10476. The form requires the company name, Federal Employer Identification Number (FEIN), printed name and title of the authorizing person, date, and appropriate initials or signature.
Completion and submission of this certification form with either paragraph one or two initialed, or paragraph three initialed and certified, is mandatory for bid eligibility. State Price Schedule applications will be disqualified if this form is not included with the submission. The form applies to the California contract opportunity NCR-HQ-RFQ-25-E0023 for Interpretive Panels and Posts. No pricing terms, set-asides, or funding information are specified in this certification document.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| STD_816_-_DVBE_Exemption_Request.pdf | ||
| Postconsumer_Content_CalRecycle74.pdf | ||
| std204.pdf | ||
| Seller_s_Permit_-_EXAMPLE.pdf | ||
| NCR-HQ-RFQ-25-E0023_RFQ.docx | DOCX document | |
| GenAI.pdf | ||
| 12._Attachment_1_-_Specifications.docx | DOCX document | |
| Bidder_Declaration.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
State of California - Department of Fish and Wildlife
DARFUR CONTRACTING ACT CERTIFICATION
DFW 1080 (NEW 02/14/19)
Pursuant to California Code, Public Contract Code (PCC) – PCC § 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 PCC § 10476.
Therefore, to be eligible to submit a bid or proposal, please insert your company name and Federal ID Number (FEIN) 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) FEIN
Printed Name and Title of Person Initialing (option 1 or 2) Date
1. _______ Initials
2. ________ Initials
3.
Initials
We do not currently have, or we have not had within the previous three years, business activities or other operations outside of the United States.
OR
We are a scrutinized company as defined in PCC § 10476, but we have received written permission from the Department of General Services (DGS) to submit a bid or proposal pursuant to PCC § 10477(B). A copy of the written permission from DGS is included with our bid or proposal.
OR
We currently have, or we have had within the previous three years, business activities or other operations outside of the United States, but we certify below that we are not a scrutinized company as defined in PCC § 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 paragraph 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
NOTE: State Price Schedule (SPS) Applications will be disqualified unless your application includes this form with either paragraph 1 or paragraph 2 initialed or paragraph 3 initialed and certified.
| OR |
| OR |
| CompanyVendor Name Printed: |
| FEIN: |
| Printed Name and Title of Person Initialing option 1 or 2: |
| Date: |
| Initials: |
| Initials_2: |
| Initials_3: |
| Printed Name and Title of Person Signing: |
| Date Executed: |
| Executed in the County and State of: |
| SAVE: |
| PRINT: |
| CLEAR: |
File details come from the government source that posted it. Updated .