AFFIDAVIT OF COMPLIANCE IRAN.docx

DOCX document 15 KB Posted

Attached to
High School Roof Replacement
Solicitation number
RFP MASO 260000002613 2
Issued by
Genesee County, Edmore Village, Michigan

About this file

This is an Affidavit of Compliance document related to a Request for Proposal issued by Mason Consolidated Schools for Mason High School Summer of 2027 Roofing Replacements. The affidavit requires bidders to certify compliance with Michigan Public Act No. 517 of 2012, the Iran Economic Sanctions Act. All bidders must confirm that they are not "Iran Linked Businesses" as defined under the Act and commit to maintaining this status throughout contract performance if awarded. The document is executed by an authorized representative of the bidding contractor and must be notarized before a Michigan notary public.

The affidavit establishes significant penalties for false certification, including civil liability of up to $250,000 or twice the contract amount, whichever is greater, plus investigation costs and attorney fees. Additionally, any person submitting false certification becomes ineligible to bid on Mason Consolidated Schools Invitations to Bid for three years from the determination date. This compliance requirement is mandatory for all bidders participating in the roofing replacement project and must be completed, signed, dated, and notarized as part of the proposal submission process.

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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 Mason Consolidated Schools request for proposal for Mason High 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 Mason Consolidated 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:________________

File details come from the government source that posted it. Updated .