Laserfiche WebLink
EXHIBIT F – DARFUR CONTRACTING ACT <br />Pursuant to Public Contract Code section 10478, if a bidder or proposer currently or within the <br />previous three years has had business activities or other operations outside of the United States, it <br />must certify that it is not a “scrutinized” company as defined in Public Contract Code section 10476. <br />Therefore, to be eligible to submit a bid or proposal, please complete only one of the following <br />three paragraphs (via initials for Paragraph # 1 or Paragraph # 2, or via initials and certification <br />for Paragraph # 3): YOUR BID OR PROPOSAL WILL BE DISQUALIFIED UNLESS YOUR BID OR <br />PROPOSAL INCLUDES THIS FORM WITH EITHER PARAGRAPH #1 OR #2 INITIALED OR <br />PARAGRAPH #3 INITIALED AND CERTIFIED. <br />1. _____We do not currently have, or we have not had within the previous three years, business <br />activities or other operations outside of the United States. <br />OR <br />2. _____We are a scrutinized company as defined in Public Contract Code section 10476, but we <br />have received written permission from the Department of General Services (DGS) to submit <br />a bid or proposal pursuant to Public Contract Code section 10477(b). A copy of the written <br />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, business activities or <br />other operations outside of the United States, but we certify below that we are not a <br />scrutinized company 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 <br />made under the laws of the State of California. <br />Grantee Agency Name (Printed) <br />City of San Leandro Marina <br />Federal ID Number <br />94-6000421 <br />By (Authorized Signature) <br />Printed Name and Title of Person Signing <br />, <br />Date Executed Executed in the County of <br />Alameda <br />YOUR BID OR PROPOSAL WILL BE DISQUALIFIED UNLESS YOUR BID OR PROPOSAL <br />INCLUDES THIS FORM WITH EITHER PARAGRAPH #1 OR #2 INITIALED OR PARAGRAPH #3 <br />INITIALED AND CERTIFIED <br />Date: 07/30/2018 Contract # C18S0605, City of San Leandro Marina, Surrendered and Abandoned Vessel <br />Exchange (SAVE) Fiscal Year 2018/2019 <br />__________________________________________________________________________ <br />Page: 27 of 3939Date: 07/30/2018 Contract # C18S0605, City of San Leandro Marina, Surrendered and Abandoned Vessel <br />Exchange (SAVE) Fiscal Year 2018/2019 <br />__________________________________________________________________________ <br />Page: 27 of 3939 <br />106