09_RFP-26-801_Att_09_Iran_Contracting_Act_ada.docx
DOCX document 28 KB Posted
- Solicitation number
- 0000040163
- Issued by
- California
About this file
This is an Iran Contracting Act certification form required by the State of California for vendors bidding on state contracts valued at $1,000,000 or more. The form applies to the California Energy Commission's RFP-26-801 for Fossil Gas Related Technical Assistance and establishes compliance requirements under California Public Contract Code sections 2202-2208.
Vendors must certify they are not on the California Department of General Services' List of Ineligible Businesses for persons engaged in investment activities in Iran, or alternatively demonstrate they have obtained an exemption from the certification requirement. The form provides two options for compliance: Option #1 requires vendors to certify under penalty of perjury that they are not listed as ineligible and are not a financial institution extending $20,000,000 or more in credit to entities using those funds for goods or services in Iran's energy sector; Option #2 allows vendors to submit documentation of a case-by-case exemption approved by the public entity. Vendors must provide their business name, Federal ID Number, authorized signature, and date executed. California law imposes significant penalties for false certifications, including civil penalties up to the greater of $250,000 or twice the contract amount, contract termination, and three-year ineligibility to bid on future state contracts.
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| 10_RFP-26-801_Att_10_CA_Civil_Rights_Law_Certification_ada.docx | DOCX document | |
| 03_RFP-26-801_Att_03_DVBE_std_843_ada.pdf | ||
| 02_RFP-26-801_Att_02_Darfur_Contracting_Act_ada.docx | DOCX document | |
| 01_RFP-26-801_Att_01_Contractor_Status_Form_ada.docx | DOCX document | |
| 08_RFP-25-801_Att_08_Standard-Agreement-EXAMPLE_ada.pdf | ||
| 00_RFP-26-801_Application_Manual_ADA.docx | DOCX document | |
| 06_RFP-26-801_Att_06_Client_References_ada.docx | DOCX document | |
| 04_RFP-26-801_Att_04_DVBE_Bidder_Declaration_ada.pdf | ||
| 05_RFP-26-801_Att_05_Contractor_Certificate_Clauses_ada.docx | DOCX document |
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Text version
ATTACHMENT 09
IRAN CONTRACTING ACT FORM
(Public Contract Code sections 2202-2208)
Prior to bidding on, submitting a proposal or executing a contract or renewal for a State of California contract for goods or services of $1,000,000 or more, a vendor must either: a) certify it is not on the current list (List of Ineligible Businesses) of persons engaged in investment activities in Iran created by the California Department of General Services (“DGS”) pursuant to Public Contract Code section 2203(b) and is not a financial institution extending twenty million dollars ($20,000,000) or more in credit to another person, for 45 days or more, if that other person will use the credit to provide goods or services in the energy sector in Iran and is identified on the current list of persons engaged in investment activities in Iran created by DGS; or b) demonstrate it has been exempted from the certification requirement for that solicitation or contract pursuant to Public Contract Code section 2203(c) or (d).
To comply with this requirement, please insert your vendor or financial institution name and Federal ID Number (if available) and complete one of the options below. Please note: California law establishes penalties for providing false certifications, including civil penalties equal to the greater of $250,000 or twice the amount of the contract for which the false certification was made; contract termination; and three-year ineligibility to bid on contracts. (Public Contract Code section 2205.)
OPTION #1 - CERTIFICATION
I, the official named below, certify I am duly authorized to execute this certification on behalf of the vendor/financial institution identified below, and the vendor/financial institution identified below is not on the current list of persons engaged in investment activities in Iran created by DGS and is not a financial institution extending twenty million dollars ($20,000,000) or more in credit to another person/vendor, for 45 days or more, if that other person/vendor will use the credit to provide goods or services in the energy sector in Iran and is identified on the current list of persons engaged in investment activities in Iran created by DGS.
| Vendor Name/Financial Institution (Printed) |
| Federal ID Number (or n/a) |
By (Authorized Signature)
Printed Name and Title of Person Signing
| Date Executed |
| Executed in |
OPTION #2 – EXEMPTION
Pursuant to Public Contract Code sections 2203(c) and (d), a public entity may permit a vendor/financial institution engaged in investment activities in Iran, on a case-by-case basis, to be eligible for, or to bid on, submit a proposal for, or enters into or renews, a contract for goods and services.
If you have obtained an exemption from the certification requirement under the Iran Contracting Act, please fill out the information below, and attach documentation demonstrating the exemption approval.
| Vendor Name/Financial Institution (Printed) |
| Federal ID Number (or n/a) |
By (Authorized Signature)
| Printed Name and Title of Person Signing |
| Date Executed |
| August 2026 Page 1 of 1 | RFP-26-801 |
| Attachment 09 | Fossil Gas Related Technical Assistance |
File details come from the government source that posted it. Updated .