Darfur_v_12_2019.pdf
PDF 259 KB Posted
- Attached to
- 23WS0055 - Phlebotomy and Laboratory Services
- Solicitation number
- 0000031399
- Issued by
- Los Angeles County, Los Angeles City, California
About this file
The document is a Darfur Contracting Act Certification related to a State of California contract opportunity for Phlebotomy and Laboratory Services at the Veterans Home of California - West Los Angeles. The certification applies to any company that has had business activities or operations outside of the United States within the previous three years and is required to bid on or submit a proposal for the contract. The company must either certify that it is not a scrutinized company or obtain written permission from the Department of General Services to submit a bid or proposal. The contract opportunity is solicitation number 23WS0055, with the work to be performed in Los Angeles County and the City of Los Angeles.
The document outlines the two options for the certification - either the company can certify that it is not a scrutinized company, or if it is a scrutinized company, it must provide written permission from the Department of General Services to submit a bid or proposal. The certification must be signed by an authorized representative of the company bidding on the contract.
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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.
STATE OF CALIFORNIA
DARFUR CONTRACTING ACT CERTIFICATION
DGS PD 1 (Rev. 12/19)
Date
Solicitation: 23WS0055
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
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