AFFIDAVIT OF COMPLIANCE IRAN.docx

DOCX document 15 KB Posted

Attached to
ROOFING AT ALLENDALE ELEMENTARY SCHOOL AND ROGERS BUILDING
Solicitation number
RFP MNA 260000002642 1
Issued by
Wayne County, Michigan

About this file

This is an Affidavit of Compliance document related to Iran sanctions compliance requirements for state and local contract opportunities. The affidavit serves as a certification mechanism through which vendors and contractors attest to their compliance with Iran sanctions laws and regulations. The document establishes that the signing party confirms they are not engaged in any prohibited transactions, investments, or dealings with Iran as defined under applicable state and federal sanctions legislation. The affidavit functions as a mandatory compliance verification tool required as part of the bidding and contracting process, ensuring that only compliant vendors participate in state and local procurement activities. No specific products, services, quantities, response dates, or contract terms are detailed within this compliance document, as it serves purely as a verification instrument rather than a substantive project description.

This affidavit typically represents a prerequisite certification that must be completed and submitted alongside bid proposals or contract applications. Vendors and contractors are required to execute the affidavit under penalty of perjury, making false statements or misrepresentations a serious legal violation. The compliance requirement applies uniformly to all bidders and contractors without set-asides or exemptions, ensuring consistent sanctions adherence across the procurement process. Funding sources and contract pricing terms are not addressed in this compliance document, as it focuses exclusively on Iran sanctions verification and does not contain financial or performance specifications related to specific contract awards.

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Text version

AFFIDAVIT OF COMPLIANCE – IRAN ECONOMIC SANCTIONS ACT

Michigan Public Act No. 517 of 2012 The undersigned, the owner or authorized officer of ___________________________________ (the “Bidder”), pursuant to the compliance certification requirement provided in the Melvindale Norther Allen Park Schools request for proposal for Allendale Elementary School and Rogers Early Elementary School Summer of 2027 Roofing Replacements hereby certifies, represents and warrants that the Bidder (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 Bidder is awarded a Contract as a result of the aforementioned Invitation To Bid, the Bidder will not become an “Iran Linked Business” at any time during the course of performing under the Contract.

The Bidder 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 Melvindale Northern Allen Park Schools investigation, and reasonable attorney fees, in addition to the fine. Moreover, any person who submitted a false certification shall be ineligible to bid on an Invitation to Bid for three (3) years from the date it is determined that the person has submitted the false certification.

Contractor:

By: _________________________________ Title: _________________________________ Date:________________________________

STATE OF MICHIGAN )

)ss.

COUNTY OF _______________ )

This instrument was acknowledged before me on the _____ day of ____________, 20___, by , Notary Public _____________________County, Michigan My Commission Expires:________________ Acting in the County of:________________

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