Sellers_Permit_Exemption_DFW1012ext.pdf
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- Attached to
- NCR-HQ-RFQ-24-F0152 Tuff Shed
- Solicitation number
- 0000034388
- Issued by
- California
About this file
This is a California Seller's Permit Exemption Waiver form (DFW 1012) from the California Department of Fish and Wildlife (CDFW). The form is used when a vendor cannot obtain a California Seller's Permit or Certificate of Registration, requiring buyer due diligence per Public Contract Code Section 10295.1.c.2 and CDFW Policy and Procedure Manual Section 6.B6.4.
The form requires information about the vendor name, details of the CDFW purchase, list of contacted vendors, verification if the vendor has applied for proper permits/registration, and detailed justification for the purchase. It must be signed by both the buyer and a Purchasing Authority Contact (PAC), with the PAC justification listed as "Ensuring the provisions of essential services." If a vendor has not applied for proper permits, they are directed to apply through the CA Department of Tax and Fee Administration or call 1-800-400-7115.
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Text version
State of California – Department of Fish and Wildlife
CALIFORNIA SELLER’S PERMIT EXEMPTION WAIVER
DFW 1012 (REV. 03/16/22)
Pursuant to Public Contract Code (PCC) Section 10295.1.c.2 and California Department of Fish & Wildlife (CDFW) Policy and Procedure Manual Section 6.B6.4, it is the due diligence of the buyer to ensure that a California Seller’s Permit Exemption Waiver is approved if a California Seller’s Permit or Certification of Registration cannot be obtained.Answer the following questions:
1. Vendor Name:
2. CDFW is seeking the purchase of: (attach or list the specifications)
3. List the vendors you have contacted:
4. Has the vendor applied for a Certificate of Registration or a California Seller’s Permit?
YES NO
a. If YES, provide or attach the response from the vendor:
b. If NO, have the vendor apply through CA Department of Tax and Fee Administration or call 1.800.400.7115
5. Provide detailed justification for this purchase:
Buyer’s Printed Name: Date:
Purchasing Authority Contact (PAC) Signature: Date:
PAC Justification:
| Vendor Name: |
| Item(s): |
| List of Vendors contacted: |
| Check Box - YES: Off |
| Check Box- No: Off |
| Vendor response: |
| Detailed Justification: |
| Buyer's Printed Name: |
| Buyer date: |
| PAC Justification: [A. Ensuring the provisions of essential services.] |
| SAVE: |
| PRINT: |
| CLEAR: |
| EMAIL: |
| Date: |
File details come from the government source that posted it. Updated .