Form DGS PD1 "Darfur Contracting Act Certification" - California

What Is Form DGS PD1?

This is a legal form that was released by the California Department of General Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2019;
  • The latest edition provided by the California Department of General Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DGS PD1 by clicking the link below or browse more documents and templates provided by the California Department of General Services.

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Download Form DGS PD1 "Darfur Contracting Act Certification" - California

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DEPARTMENT OF GENERAL SERVICES
STATE OF CALIFORNIA
PROCUREMENT DIVISION
DARFUR CONTRACTING ACT CERTIFICATION
DGS PD 1 (Rev. 12/19)
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
Date
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.
Page 1 of 2
DEPARTMENT OF GENERAL SERVICES
STATE OF CALIFORNIA
PROCUREMENT DIVISION
DARFUR CONTRACTING ACT CERTIFICATION
DGS PD 1 (Rev. 12/19)
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
Date
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.
Page 1 of 2
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.
Federal ID Number
Company/Vendor Name (Printed)
By (Authorized Signature)
Date
Printed Name and Title of Person Signing
Page 2 of 2
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