13._Iran_Contracting_Act_E-Signature.pdf

This document is an Iran Contracting Act Verification Form issued by the California Department of General Services Procurement Division, applicable to state contracts valued at $1,000,000 or more. The form requires vendors or financial institutions to certify their status regarding investment activities in Iran prior to bidding on, submitting a proposal for, or executing a state contract. Vendors must either affirm they are not on the current list of persons engaged in Iranian investment activities or demonstrate they have been exempted from the certification requirement.

The form provides two compliance options: Option #1 involves certifying that the vendor/financial institution is not on the current list of persons engaged in Iranian investment activities, and Option #2 allows for case-by-case exemptions pursuant to Public Contract Code sections 2203(c) and (d). California law establishes significant penalties for providing false certifications, including civil penalties up to $250,000, contract termination, and three-year bidding ineligibility. The verification is specifically tied to investment activities in the energy sector in Iran, with particular focus on transactions extending twenty million dollars or more in credit to other persons or entities.