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AgdaPkt 2016-09-12 Closed and Joint SA PFA
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AgdaPkt 2016-09-12 Closed and Joint SA PFA
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Last modified
9/13/2016 11:52:14 AM
Creation date
9/12/2016 7:53:18 AM
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Template:
CC Index
CC Index - Document Type
Agenda Packet
Meeting Type
Joint
Agency Type
City Council and Successor Agency and Public Financing Authority
Date
9/12/2016
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ATTY/AGR/2016.249/STATE OF CALIFORNIA DEPARTMENT OF PARKS & RECREATION DIVISION OR BOATING & WATERWAYS <br />REV: 09-01-16 RL <br />Page 25 of 33 <br />EXHIBIT F – DARFUR CONTRACTING ACT <br /> <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): <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 /> <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 /> <br />OR <br /> <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 /> <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 /> <br />City of Redwood City <br />Federal ID Number <br /> <br />94-6001116 <br />By (Authorized Signature) <br />Printed Name and Title of Person Signing <br /> <br />, <br />Date Executed Executed in the County of <br /> <br />San Mateo <br /> <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 />6.1.M. - Page 27
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