2300023273att09-certificationundereo16.pdf

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Attached to
Miscellaneous Office Supplies (Statewide)
Contract number
23273
Issued by
New York

About this file

The document is Attachment 9, a Certification Under Executive Order No. 16, which prohibits state agencies and authorities from contracting with businesses conducting business in Russia. This certification is part of a statewide contract for Miscellaneous Office Supplies (Group 23000). The document requires vendors to disclose and certify their business operations in Russia, providing options to indicate no business in Russia, steps to wind down operations, provision of essential services, or continued business operations.

The certification form is designed to be completed by vendors seeking to participate in the statewide contract, with vendors required to carefully assess and declare their business activities in Russia. The document offers vendors multiple response options, including declaring no Russian business operations, describing wind-down processes, explaining vital service provisions, or acknowledging current business operations. Vendors must sign and date the document under penalty of perjury, affirming the accuracy of their disclosure regarding their business activities in Russia.

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Group 23000 – Miscellaneous Office Supplies (Statewide)

23273_Attachment09_CertificationUnderEO16

ATTACHMENT 9

Certification Under Executive Order No. 16

Prohibiting State Agencies and Authorities from Contracting with Businesses Conducting Business in Russia

Executive Order No. 16 provides that “all Affected State Entities are directed to refrain from entering into any new contract or renewing any existing contract with an entity conducting business operations in Russia.” The complete text of Executive Order No. 16 can be found here.

The Executive Order remains in effect while sanctions imposed by the federal government are in effect.

Accordingly, vendors who may be excluded from award because of current business operations in Russia are nevertheless encouraged to respond to solicitations to preserve their contracting opportunities in case the sanctions are lifted during a solicitation or even after award in the case of some solicitations.

As defined in Executive Order No. 16, an “entity conducting business operations in Russia” means an institution or company, wherever located, conducting any commercial activity in Russia or transacting business with the Russian Government or with commercial entities headquartered in Russia or with their principal place of business in Russia in the form of contracting, sales, purchasing, investment, or any business partnership.

Is Vendor an entity conducting business operations in Russia, as defined above? Please answer by checking one of the following boxes:

1. No, Vendor does not conduct business operations in Russia within the meaning of

Executive Order No. 16.

2.a. Yes, Vendor conducts business operations in Russia within the meaning of Executive Order No. 16 but has taken steps to wind down business operations in Russia or is in the process of winding down business operations in Russia. (Please provide a detailed description of the wind down process and a schedule for completion.)

2.b. Yes, Vendor conducts business operations in Russia within the meaning of Executive

Order No. 16 but only to the extent necessary to provide vital health and safety services within Russia or to comply with federal law, regulations, executive orders, or directives. (Please provide a detailed description of the services being provided or the relevant laws, regulations, etc.)

3. Yes, Vendor conducts business operations in Russia within the meaning of Executive

Order No. 16.

The undersigned certifies under penalties of perjury that they are knowledgeable about the Vendor’s business and operations and that the answer provided herein is true to the best of their knowledge and belief.

Vendor Name:

(legal entity)

By:

(signature)

Name:

Title:

Date:

https://www.governor.ny.gov/executive-order/no-16-prohibiting-state-agencies-and-authorities-contracting-businesses-conducting

1: Off
2a Yes Vendor conducts business operations in Russia within the meaning of Executive: Off
2b Yes Vendor conducts business operations in Russia within the meaning of Executive: Off
3: Off
legal entity:
Name:
Title:
Date:

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