IFB_Darfur_Form.pdf
PDF 169 KB Posted
- Attached to
- IFB #C25-33057 Refrigeration Service & Repair (Fresno, Merced, Kings, Madera, Kern and Tulare Counties)
- Solicitation number
- C25-33057
- Issued by
- Fresno County, Fremont City, California
About this file
This document is a Darfur Contracting Act Certification form issued by the California Department of General Services (DGS) Procurement Division. The form is designed for companies that have conducted business activities outside the United States within the previous three years to certify their eligibility to bid on or submit a proposal for a State of California contract. The document provides two options for compliance: Option #1 allows companies to certify they are not a "scrutinized company" under penalty of perjury, while Option #2 is for scrutinized companies that have obtained written permission from the Department of General Services to submit a bid or proposal.
The certification process is tied to Public Contract Code Sections 10475-10481, which apply to companies with international business operations. Companies must disclose their status and either certify they are not a scrutinized company or provide documentation of written permission from DGS to participate in state contracts. The form requires companies to provide their vendor name, Federal ID Number, and an authorized signature, with the understanding that making a false certification could result in legal consequences. The document is specifically related to contracting restrictions connected to activities in the Darfur region and serves as a mechanism for the State of California to manage and control international business interactions in state procurement processes.
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Other files
| File | Type | Posted |
|---|---|---|
| IFB_ATTACHMENT__DVBE_INCENTIVE.docx | DOCX document | |
| IFB_ATTACHMENT_DGS_CERTIFIED_SB_PARTICIPATION.docx | DOCX document | |
| IFB_STD204.pdf | ||
| IFB_C25-33057.docx | DOCX document |
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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: |
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