ACCEPTANCE, INSURANCE and CERTIFICATIONS Page 1 of 3 ACCEPTANCE, INSURANCE and CERTIFICATIONS IFB OR RFP LESS THAN $1M 1. ACCEPTANCE OF TERMS AND CONDITIONS - Mark your ONE appropriate choice, below: The undersigned certifies that he/she has: A) read, understands, and accepts all terms and conditions and affirms all certifications contained in the Bid/RFP Documents which will govern any PO/Contract awarded under this Bid/RFP, and that the undersigned’s principal is fully bound and committed to the same; OR B) read and understands all terms and conditions and all certifications contained in the Bid/RFP Documents which will govern any PO/Contract awarded under this Bid/RFP, but proposes certain exceptions. Such exceptions must be properly submitted in accordance with the Bid/RFP documents and directions. The undersigned acknowledges that any exceptions it takes may render a proposal non-responsive as determined in the Court’s sole discretion, and that any terms, conditions, and certifications that it does not specifically identify as excepted to shall be deemed to be accepted and affirmed by Bidder/Proposer. 2. CERTIFICATION OF INSURANCE COVERAGE - Mark your ONE appropriate choice, below: A) Contractor currently maintains and will continue to maintain insurance that meets the requirements set forth in the Bid/RFP document, specifically in the Model Contract or the included Terms and Conditions OR B) Contractor is ready, willing and able to maintain insurance that meets the requirements set forth in the Bid/RFP document, specifically in the Model Contract or the included Terms and Conditions. OR C) Contractor takes exceptions to the insurance requirements of this Bid/RFP and has provided an explanation of these exceptions per the directions in 1(B) above. 3. DARFUR CONTRACTING ACT CERTIFICATION - Mark your ONE appropriate choice, below: Pursuant to Public Contract Code (PCC) section 10478, if a bidder or proposer currently or within the previous three years has had business activities or other operations outside of the United States, it must either (i) certify that it is not a “scrutinized company” as defined in PCC 10476, or (ii) receive written permission from the Court to submit a bid or proposal. To submit a bid or proposal to the Court, you must certify ONLY ONE of the following three paragraphs. Indicate which paragraph accurately describes your company: A) We do not currently have, and we have not had within the previous three years, business activities or other operations outside of the United States. OR B) We are a “scrutinized company” as defined in PCC 10476, but we have received written permission from the Court to submit a bid or proposal pursuant to PCC 10477(b). A copy of the written permission from the Court is included with our bid or proposal. OR ACCEPTANCE, INSURANCE and CERTIFICATIONS Page 2 of 3 C)We currently have, or we have had within the previous three years, business activities or other operations outside of the United States, but we certify that we are not a “scrutinized company” as defined in PCC 10476. 4. UNRUH CIVIL RIGHTS ACT AND CALIFORNIA FAIR EMPLOYMENT AND HOUSING ACT CERTIFICATION (applicable to all bids over $100,000) - You are certifying that all THREE statements below are true as to you/your company: Pursuant to Public Contract Code (PCC) section 2010, the following certifications must be provided when (i) submitting a bid or proposal to the Court for a solicitation of goods or services of $100,000 or more, or (ii) entering into or renewing a contract with the Court for the purchase of goods or services of $100,000 or more. By signing/executing this document, contractor certifies they are in full compliance with all three items below: A)We are in compliance with the Unruh Civil Rights Act (Section 51 of the Civil Code); AND B)We are in compliance with the California Fair Employment and Housing Act (Chapter 7 (commencing with Section 12960) of Part 2.8 of Division 3 of the Title 2 of the Government Code); AND C)We do not have any policy against any sovereign nation or peoples recognized by the government of the United States, including, but not limited to, the nation and people of Israel, that is used to discriminate in violation of the Unruh Civil Rights Act (Section 51 of the Civil Code) or the California Fair Employment and Housing Act (Chapter 7 (commencing with Section 12960) of Part 2.8 of Division 3 of Title 2 of the Government Code); 5. CERTIFICATION submitted Bid/Proposal at the costs indicated within the time frame indicated if the Bid/Proposal is accepted. If recommended for Contract award, the undersigned agrees to execute a PO/Contract that will be prepared by Court for execution in timely fashion. The PO/Contract pursuant to this Bid/RFP may not be exclusive. Court expressly reserves the right to contract for performance of services and/or procurement of goods/products such as those described herein through other Proposers. I, the official named below, CERTIFY UNDER PENALTY OF PERJURY, that I am duly authorized to legally bind the proposer/bidder and that the certification, statements and assertions indicated above are true and accurate. This certification is made under the laws of the State of California. In response to the Bid/RFP, I/we the undersigned hereby declare that I/we have carefully read, examined and am/are full y familiar with the Bid/RFP documents and all other documents and information posted online at the Court Online Procurement Website (https://www.bidnetdirect.com/california/sps) and hereby propose to perform the Statement of Work and/or provide the goods/products as required in this solicitation. The undersigned hereby agrees that Court will not be responsible for any errors or omissions in these Bid/RFP Documents and Addenda. The undersigned agrees to supply the services set forth and/or provide the goods/products in its ACCEPTANCE, INSURANCE and CERTIFICATIONS Page 3 of 3 COMPANY NAME: _________________________________________________________________ NAME OF PERSON MAKING CERTIFICATION: __________________________________________ TITLE OF PERSON MAKING CERTIFICATION: __________________________________________ EXECUTED IN THE COUNTY OF: _______________________________________________________ EXECUTED IN THE STATE OF: _______________________________________________________ DATE EXECUTED: _______________