9. Iran Contracting Act Certification FILLABLE.pdf
PDF 115 KB Posted
- Solicitation number
- 147430
- Issued by
- Riverside County, California
About this file
This is an Iran Contracting Act Certification form required by the California Public Contract Code Section 2200 et seq. for the Fire Station No. 55 and City Hall Window and Sliding Glass Door Replacement Project in California. The certification requires contractors to affirm their compliance status regarding investment activities in Iran under the Iran Contracting Act of 2010. Contractors must certify one of three conditions: that they are not identified on the California Department of General Services' list of persons and entities engaged in investment activities in Iran; that they are not a financial institution extending $20,000,000 or more in credit for 45 days or more to entities on the restricted list for energy sector operations in Iran; or that the City has granted them an exemption based on a public finding that the exemption is necessary to obtain required goods or services. Hard copy bid bonds are due by November 12, 2026, at 2:00 PM PST.
The contract amount threshold for this project does not exceed $1,000,000. Contractors must provide their signature, printed name, title, firm name, and certification date on the fillable form. False certification carries significant penalties, including civil liability equal to the greater of $250,000 or twice the contract amount, contract termination, and ineligibility to bid on contracts for three years. The California Attorney General is notified of any false certifications pursuant to Public Contract Code Section 2205.
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Text version
IRAN CONTRACTING ACT CERTIFICATION.
(Public Contract Code section 2200 et seq.)
As required by California Public Contract Code Section 2204, the Contractor certifies subject to penalty for perjury that the option checked below relating to the Contractor’s status in regard to the Iran Contracting Act of 2010 (Public Contract Code Section 2200 et seq.) is true and correct:
The Contractor is not:
(1) identified on the current list of person and entities engaged in investment activities in Iran prepared by the California Department of General Services in accordance with subdivision (b) of Public Contract Code Section 2203; or
(2) a financial instruction that extends, for 45 days or more, credit in the amount of $20,000,000 or more to any other person or entity identified on the current list of persons and entities engaging in investment activities in Iran prepared by the California Department of General Services in accordance with subdivision (b) of Public Contract Code Section 2203, if that person or entity uses or will use the credit to provide goods or services in the energy sector in Iran.
The City has exempted the Contractor from the requirements of the Iran Contracting Act of 2010 after making a public finding that, absent the exemption, the City will be unable to obtain the goods and/or services to be provided pursuant to the Contract.
The amount of the Contract payable to the Contractor for the Project does not exceed $1,000,000.
Signature:
Printed Name:
Title:
Firm Name:
Date:
Note: In accordance with Public Contract Code Section 2205, false certification of this form shall be reported to the California Attorney General and may result in civil penalties equal to the greater of $250,000 or twice the Contract amount, termination of the Contract and/or ineligibility to bid on contracts for three years.
25 | P a g e
| The Contractor is not: Off |
| The City has exempted the Contractor from the requirements of the Iran Contracting Act: Off |
| The amount of the Contract payable to the Contractor for the Project does not exceed: Off |
| Printed Name: |
| Title: |
| Firm Name: |
| Date: |
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