RFQ-S2460002_-_Attachment_5,_Darfur.pdf
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- Attached to
- RFQ-IDR-S2460002-Fire Extinguisher Services
- Solicitation number
- 0000035036
- Issued by
- Ventura County, California
About this file
This document is a Darfur Contracting Act Certification form for the California Department of Fish and Wildlife (CDFW) related to an Annual Fire Extinguisher Services contract (Solicitation S2460002) for the Fillmore Hatchery. The form provides three certification options for vendors with potential business activities outside the United States, ensuring compliance with Public Contract Code Sections 10475-10481.
The certification requires vendors to declare their status regarding international business activities within the previous three years, with options to: 1) certify no international business activities, 2) certify they are not a "scrutinized company" if they have had international operations, or 3) provide written permission from the Department of General Services if they are a scrutinized company seeking to bid. The document is part of a request for quotation (RFQ) scheduled for May 2024, and serves as a mandatory compliance attachment for potential bidders on this state contract for fire extinguisher services at the Fillmore Hatchery.
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Text version
Fillmore Hatchery S2460002, Annual Fire Extinguisher Services (Fillmore)
CDFW SFC RFQ (05/2024)
Attachment 5 – Darfur Contracting Act Certification
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.
OPTION #1 – NOT APPLICABLE
Check here if your company has not, within the previous three years, had any business activities or other operations outside of the United States.
Company/Vendor Name (Printed) Federal ID Number
Printed Name and Title of Person Signing By (Authorized Signature)
OPTION #2 - 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 #3 – 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
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