Addendum 2.pdf

Westwood Schools Thorne Elementary & Daly Elementary

Addendum #2 11-8-23

The following items have been added to the bid package under Addendum #2 and shall be included in the bidders’ submission:

- Familial Disclosure Affidavit

- Iran Economic Sanctions Affidavit

The above items are attached as part of this addendum.

Matt Verhey Email: mverhey@garlandind.com Learn More: www.garlandco.com

GARLAND COMPANY, INC.

AFFIDAVIT OF BIDDER

The undersigned, the School District or authorized officer of _________________________________ (the “Bidder”), pursuant to the familial disclosure requirement provided in the Westwood Community School District (the “School District”) advertisement for bids, hereby represent and warrant, except as provided below, that no familial relationships exist between the School District(s) or any employee of ___________________________________ (the “Bidder”) and any member of the Board of Education of the School District or the Superintendent of the School District.

List any Familial Relationship:

BIDDER:

By: ___________________________

Its: ___________________________

STATE OF MICHIGAN

County of _____________________

This instrument was acknowledged before me on the _______ day of ______________________, 2013, by

________________________________ , Notary Public

________________County, Michigan

My commission Expires: __________

Acting in the County of: ___________

AFFIDAVIT OF COMPLIANCE – IRAN ECONOMIC SANCTIONS ACT

Michigan Public Act No. 517 of 2012

The undersigned, the owner or authorized officer of the below-named contractor (the “Contractor”), pursuant to the compliance certification requirement provided in the Farmington Public Schools’ (the “School District”) Request For Proposals For ______________________________ (the “RFP”), hereby certifies, represents and warrants that the Contractor (including its officers, directors and employees) is not an “Iran linked business” within the meaning of the Iran Economic Sanctions Act, Michigan Public Act No. 517 of 2012 (the “Act”), and that in the event Contractor is awarded a contract as a result of the aforementioned RFP, the Contractor will not become an “Iran linked business” at any time during the course of performing any services under the contract.

The Act defines an Iran Linked Business as an individual or any entity, including all successors, parent companies, subsidiaries and companies under common control, engaged in investment activities of $20,000,000.00 or more with the energy sector of Iran, including providing of products used to construct or maintain oil or liquefied natural gas pipelines.

The Contractor further acknowledges that any person who is found to have submitted a false certification is responsible for a civil penalty of not more than $250,000.00 or 2 times the amount of the contract or proposed contract for which the false certification was made, whichever is greater, the cost of the School District’s investigation, and reasonable attorney fees, in addition to the fine. Moreover, any person who submitted a false certification shall be ineligible to bid on a Request for Proposal for three (3) years from the date it is determined that the person has submitted the false certification.

CONTRACTOR:

Name of Contractor

By: ____________

Its: ________________

Date: ____________

STATE OF )

)ss.

COUNTY OF ____________ )

This instrument was acknowledged before me on the _____ day of ____________, 2013, by

, Notary Public

___________________________ County, __________

My Commission Expires:_________________________

Acting in the County of :_________________________