RFP_CFCC25-189RB-Attach-5-Darfur-Certification.pdf

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Attached to
RFP CFCC25-189RB-Tribal Projects E Learning
Solicitation number
0000034232
Issued by
Alameda County, Alpine County, Amador County, Butte County, Calaveras County, Colusa County, Contra Costa County, Del Norte County, El Dorado County, Fresno County, Glenn County, Humboldt County, Imperial County, Inyo County, Kern County, Kings County, Lake County, Lassen County, Los Angeles County, Madera County, Marin County, Mariposa County, Mendocino County, Merced County, Modoc County, Mono County, Monterey County, Napa County, Nevada County, Orange County, Placer County, Plumas County, Riverside County, Sacramento County, San Benito County, San Bernardino County, San Diego County, San Francisco County, San Joaquin County, San Luis Obispo County, San Mateo County, Santa Barbara County, Santa Clara County, Santa Cruz County, Shasta County, Sierra County, Siskiyou County, Solano County, Sonoma County, Stanislaus County, Sutter County, Tehama County, Trinity County, Tulare County, Tuolumne County, Ventura County, Yolo County, Yuba County, Alameda City, Alpine Village CDP, Amador City, Amador Pines CDP, Sutter Creek City, Butte Creek Canyon CDP, Butte Meadows CDP, Butte Valley CDP, Rancho Calaveras CDP, Colusa City, Contra Costa Centre CDP, Auburn Lake Trails CDP, El Dorado Hills CDP, Placerville City, South Lake Tahoe City, Fresno City, Kingsburg City, Orange Cove City, San Joaquin City, Shaver Lake CDP, Blue Lake City, Humboldt Hill CDP, Imperial City, Alta Sierra CDP, China Lake Acres CDP, Glennville CDP, Inyokern CDP, Kernville CDP, Lake Isabella CDP, Lake of the Woods CDP, Lakeside CDP, Hidden Valley Lake CDP, Lakeport City, Lower Lake CDP, North Lakeport CDP, Upper Lake CDP, East Los Angeles CDP, Elizabeth Lake CDP, Lake Hughes CDP, Lake Los Angeles CDP, Lakewood City, Los Angeles City, Marina Del Rey CDP, Monterey Park City, San Marino City, Sierra Madre City, Bass Lake CDP, Madera City, Madera Acres CDP, Madera Ranchos CDP, Yosemite Lakes CDP, Corte Madera Town, Lucas Valley-Marinwood CDP, Marin City CDP, Lake Don Pedro CDP, Mariposa CDP, Mendocino CDP, Merced City, University of California-Merced CDP, Lake City CDP, Crowley Lake CDP, June Lake CDP, Mammoth Lakes Town, Mono City CDP, Twin Lakes CDP, Virginia Lakes CDP, Marina City, Monterey City, Napa City, Lake of the Pines CDP, Lake Wildwood CDP, Nevada City, Lake Forest City, Orange City, Kings Beach CDP, Bucks Lake CDP, Lake Almanor Country Club CDP, Lake Almanor Peninsula CDP, Lake Almanor West CDP, Lake Davis CDP, Plumas Eureka CDP, Canyon Lake City, Lake Elsinore City, Lakeland Village CDP, Lake Mathews CDP, Lake Riverside CDP, Lakeview CDP, Riverside City, Orangevale CDP, Sacramento City, Big Bear Lake City, Lake Arrowhead CDP, San Bernardino City, Silver Lakes CDP, Spring Valley Lake CDP, Alpine CDP, Imperial Beach City, Lake San Marcos CDP, Rancho San Diego CDP, San Diego City, San Diego Country Estates CDP, San Francisco City, Lake Nacimiento CDP, San Luis Obispo City, Emerald Lake Hills CDP, San Mateo City, South San Francisco City, Santa Barbara City, University of California-Santa Barbara CDP, Santa Clara City, Santa Cruz City, Lakehead CDP, Shasta CDP, Shasta Lake City, Sierra Brooks CDP, Sierra City CDP, Sierraville CDP, Lake Shastina CDP, Mount Shasta City, Sonoma City, Sonoma State University CDP, Monterey Park Tract CDP, Orange Blossom CDP, Sutter CDP, Yuba City, Lake California CDP, Rancho Tehama Reserve CDP, Tehama City, Trinity Center CDP, Trinity Village CDP, East Tulare Villa CDP, Tulare City, Mono Vista CDP, Phoenix Lake CDP, Pine Mountain Lake CDP, Sierra Village CDP, Tuolumne City CDP, Lake Sherwood CDP, West Sacramento City, Yolo CDP, Plumas Lake CDP, California

About this file

This is a Darfur Contracting Act Certification form (Attachment 5) for RFP No. CFCC25-189RB, titled "Tribal Dependency Representation E-Learning Resources" issued by the Center for Families, Children & the Courts of the Judicial Council. This document is a required certification form that proposers must complete regarding their business activities outside the United States.

The form requires proposers to certify one of three conditions: 1) they have no business activities outside the US within the past three years, 2) they are a "scrutinized company" but have received written permission from JBE to submit a proposal, or 3) they have business activities outside the US but certify they are not a "scrutinized company" as defined in PCC 10476. If selecting option 3, proposers must complete an additional certification under penalty of perjury. The certification requires company identification, Federal ID number, authorized signatures, and execution details including county and state of execution.

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TITLE: Tribal Dependency Representation E-Learning Resources for Center for Families, Children & the Courts

RFP NO. CFCC25-189RB

ATTACHMENT 5

DARFUR CONTRACTING ACT CERTIFICATION

Pursuant to Public Contract Code (PCC) section 10478, if a proposer currently or within the previous three years has had business activities or other operations outside of the United States, it must either (i) certify that it is not a “scrutinized company” as defined in PCC 10476, or (ii) receive written permission from the JBE to submit a proposal.

To submit a proposal to the Judicial Council, the proposer must insert its company name and Federal ID Number below and complete ONLY ONE of the following three paragraphs. To complete paragraph 1 or 2, simply check the corresponding box. To complete paragraph 3, check the corresponding box and complete the certification for paragraph 3.

Company Name (Printed) Federal ID Number

Printed Name and Title of Person Checking Box (for paragraph 1 or 2 below)

1. We do not currently have, and we have not had within the previous three years, business activities or other operations outside of the United States.

OR

2. We are a “scrutinized company” as defined in PCC 10476, but we have received written permission from the JBE to submit a proposal pursuant to PCC 10477(b). A copy of the written permission from the JBE is included with our proposal.

OR

3. 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 PARAGRAPH 3:

I, the official named below, CERTIFY UNDER PENALTY OF PERJURY, that I am duly authorized to legally bind the proposer to the clause in paragraph 3. This certification is made under the laws of the State of California.

Company Name (Printed) Federal ID Number

By (Authorized Signature)

Printed Name and Title of Person Signing

Date Executed Executed in the County of _________ in the

State of ___________

ATTACHMENT 5
darfur contracting act certification

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