31._Compliance_with_Economic_Sanctions.pdf

This document is a compliance notice form related to economic sanctions, issued by the California state government in response to Russia's actions in Ukraine, with the contract number SD24-00021. The form is part of Executive Order N-6-22, which mandates that all contractors and grantees with agreements valued at $5 million or more must report to their contracting agency or department regarding compliance with U.S. government economic sanctions against Russia.

The form requires contractors/grantees to conduct a good faith review and attest to their compliance with imposed sanctions, and to attach a report describing any steps taken in response to Russia's actions in Ukraine within 60 calendar days. The document emphasizes that responses may be subject to the California Public Records Act and cautions against including confidential information or disclosures that could pose security risks. Contractors must complete the form by providing their name, Federal ID Number, an authorized signature, printed name and title, and the date of submission.