DPR-049,_Darfur_Contracting_Act_1010.pdf
PDF 29 KB Posted
- Attached to
- EM-25-113 Weather Tower & Shelter Trailer
- Solicitation number
- 0000038921
- Issued by
- California
About this file
This is a certification form issued by the State of California Department of Pesticide Regulation regarding compliance with the Darfur Contracting Act under Public Contract Code Sections 10475-10481. The form applies to any company that has conducted business activities or operations outside the United States within the previous three years and seeks to bid on or submit proposals for State of California contracts. Companies without international business activities during this period are exempt from completion of this form. The document does not specify particular products, services, quantities, response dates, or contract terms, as it functions as a general compliance requirement rather than a specific solicitation document.
The form provides two compliance pathways for eligible bidders. Under Option 1, companies must certify under penalty of perjury that they are not "scrutinized companies" as defined by Public Contract Code Section 10476, and provide their company name, Federal ID Number, authorized signature, and execution location. Under Option 2, companies that are classified as scrutinized companies may still submit bids or proposals if they have obtained written permission from the Department of General Services, which may be granted on a case-by-case basis when deemed in the state's best interest. Bidders selecting Option 2 must provide the same identifying information along with evidence of DGS approval. No pricing terms, set-asides, incumbent information, or funding sources are addressed in this compliance document.
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Text version
State of California Department of Pesticide Regulation Darfur Contracting Act DPR-049 (Rev. 1/11)
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
Date Executed
Executed in the County and State of
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.
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
Initials of Submitter
Printed Name and Title of Person Initialing
| Company/Vendor Name (Printed): |
| Federal ID Number: |
| By (Authorized Signature): |
| Printed Name and Title of Person Signing: |
| Date Executed: |
| Executed in the County and State of: |
| Company/Vendor Name (Printed): |
| Federal ID Number: |
| Initials of Submitter: |
| Printed Name and Title of Person Initialing: |
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