1-Attachment 4 - DBR.pdf

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Attached to
Miscellaneous Concrete Placement
Solicitation number
26-095
Issued by
Hood County, Texas

About this file

This is a Disclosure of Business Relationships with Iran, Sudan, or a Foreign Terrorist Organization certification document for the City of Buda's City Park Playscape Replacements project in Texas. The document is required under Texas S.B. 252 (effective September 1, 2017) and mandates that the City of Buda cannot enter into a governmental contract with any provider identified on a list maintained by the Texas Comptroller of Public Accounts that conducts business with Iran, Sudan, or a foreign terrorist organization. The certification requires the offeror to acknowledge that it has read and understands the requirements and does not appear on the comptroller's maintained list. The document includes signature lines for the name of the offeror, signature of an authorized representative, and date of certification.

No additional pricing terms, set asides, funding requirements, or other salient contract information is contained within this disclosure document. The certification serves solely as a compliance verification mechanism for the procurement process and must be completed and submitted by all prospective bidders for the playground design and installation project.

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ATTACHMENT IV:

DISCLOSURE OF BUSINESS RELATIONSHIPS WITH IRAN, SUDAN, OR A FOREIGN

TERRORIST ORGANIZATION

Texas S.B. 252 (Effective 9/1/2017): provides that (1) the City may not enter into a governmental contract with a Provider that is identified on a list prepared and maintained by the comptroller and that does business with Iran, Sudan, or a foreign terrorist organization; and (2) a company that the United States government affirmatively declares to be excluded from its federal sanctions regime relating to Sudan, its federal sanctions regime relating to Iran, or any federal sanctions regime relating to a foreign terrorist organization is not subject to contract prohibition under this subchapter.

By signing below, Offeror acknowledges that it has read and understands that it does not appear on the list maintained by the Texas Comptroller of Public Accounts.

Name of Offeror: ______________________________________________________________________

Signature of Authorized Representative: ___________________________________________________

Date:

File details come from the government source that posted it. Updated .