Darfur_Form_(NEW).pdf

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Attached to
IFB C23-32696 Moving Services for Northern Sierra District
Solicitation number
C23-32696
Issued by
Sacramento County, Sacramento City, California

About this file

This document is a State of California Department of Rehabilitation (DOR) Invitation for Bid (IFB) for office moving services for the Northern Sierra District. The IFB requests a contractor to provide a full range of services to remove, transport, and replace office furniture, equipment, and related supplies from existing to new locations. Work may be conducted before 7:00 a.m., after 5:00 p.m., and/or on weekends. To be responsive, bidders must meet minimum qualifications including special licenses, business licenses, insurance, federal debarment status, compliance with civil rights laws, and possession of a valid Motor Carrier Permit. Bidders must also complete a GenAI Disclosure & Factsheet if their solution includes any generative artificial intelligence technology.

The contract will be awarded to the lowest responsive and responsible bidder. This solicitation includes small business and disabled veteran business enterprise (DVBE) incentives. Bidders are responsible for understanding the scope of work and all requirements before submitting a bid. Questions must be submitted in writing, and all questions and answers will be posted on the Cal eProcure website.

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Other files

File Type Posted
DGS_CERTIFIED_SB_PARTICIPATION.pdf PDF
DVBE_INCENTIVE.pdf PDF
Std_1000_GenAI.pdf PDF
std204.pdf PDF
IFB_C23-32696_Moving_Services_for_Northern_Sierra_District.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:

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