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8C Consent 2014 0303
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8C Consent 2014 0303
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Last modified
6/5/2019 9:09:56 AM
Creation date
3/5/2014 4:44:55 PM
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CM City Clerk-City Council
CM City Clerk-City Council - Document Type
Staff Report
Document Date (6)
3/3/2014
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PERM
Document Relationships
_CC Agenda 2014 0303 CS+RG
(Reference)
Path:
\City Clerk\City Council\Agenda Packets\2014\Packet 2014 0303
Reso 2014-020
(Reference)
Path:
\City Clerk\City Council\Resolutions\2014
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EXHIBIT F — DARFUR CONTRACTING ACT <br />Pursuant to Public Contract Code section 10478, if a bidder or proposer currently or <br />within the previous three years has had business activities or other operations outside <br />of the United States, it must certify that it is not a "scrutinized" company as defined in <br />Public Contract Code section 10476. <br />Therefore, to be eligible to submit a bid or proposal, please complete only one of the <br />following three paragraphs (via initials for Paragraph # 1 or Paragraph # 2, or via initials <br />and certification for Paragraph # 3): <br />1. We do not currently have, or we have not had within the previous <br />Initials three years, business activities or other operations outside of the <br />United States. <br />2. We are a scrutinized company as defined in Public Contract Code <br />Initials section 10476, but we have received written permission from the <br />Department of General Services (DGS) to submit a bid or proposal <br />pursuant to Public Contract Code section 10477(b). A copy of the <br />written permission from DGS is included with our bid or proposal. <br />OR <br />3. We currently have, or we have had within the previous three years, <br />Initials business activities or other operations outside of the United States, <br />+ certification but we certify below that we are not a scrutinized company <br />below as defined in Public Contract Code section 10476. <br />CERTIFICATION For # 3. <br />I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that I am duly authorized to <br />legally bind the prospective proposer/bidder to the clause listed above in # 3. This certification is made <br />under the laws of the State of California. <br />Grantee Agency Name (Printed) <br />Federal ID Number <br />By (Authorized Signature) <br />Printed Name and Title of Person Signing <br />Date Executed <br />71 <br />Executed in the County and State of <br />YOUR BID OR PROPOSAL WILL BE DISQUALIFIED UNLESS YOUR BID OR <br />PROPOSAL INCLUDES THIS FORM WITH EITHER PARAGRAPH #1 OR #2 <br />INITIALED OR PARAGRAPH #3 INITIALED AND CERTIFIED <br />In <br />
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