APPENDIX C Iran Economic Sanctions Form.docx
DOCX document 25 KB Posted
- Attached to
- IFB 26. 0001 Allen Elementary Boiler Replacement
- Solicitation number
- IFB 26.0001 Allen Elementary Boiler Replacement
- Issued by
- Washtenaw County, Michigan
About this file
This document is an Iran Economic Sanctions Certification form for the Ann Arbor Public Schools related to IFB 26.0001 for the Allen Elementary Boiler Replacement project in Michigan. The certification requires contractors to confirm they are not an "Iran linked business" and will not become one during the contract performance, specifically for a project involving three boiler replacements at Allen Elementary School.
The form outlines significant compliance and penalty provisions, including potential civil penalties of up to $250,000 or twice the contract value for false certifications. Contractors who submit false certifications may also be prohibited from bidding on future requests for bids for three years. The certification is a mandatory requirement for potential contractors seeking to be considered for the boiler replacement project, with the goal of ensuring no business ties to sanctioned entities are present during the procurement and contract execution process.
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Other files
| File | Type | Posted |
|---|---|---|
| APPENDIX E Ichat packet 5-2021.pdf | ||
| APPENDIX D Familial Disclosure Form (ONLY REQUIRED FOR CONSTRUCTION).docx | DOCX document | |
| APPENDIX B Certification Form.docx | DOCX document | |
| APPENDIX H BID PRICING FORM.docx | DOCX document | |
| APPENDIX I Prevaliling Wage.pdf | ||
| APPENDIX G MECHANICAL PLANS MODIFIED.pdf | ||
| APPENDIX F SPECIFICATIONS.docx | DOCX document | |
| IFB 26.0001 ALLEN ELEMENTARY BOILER REPLACEMENT.docx | DOCX document | |
| APPENDIX A Contractor Information.docx | DOCX document |
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Text version
IFB 26.0001 ALLEN ELEMENTARY BOILER REPLACEMENT
APPENDIX D - IRAN ECONOMIC SANCTIONS
CERTIFICATION OF COMPLIANCE - IRAN ECONOMIC SANCTIONS ACT
Michigan Public Act No. 517 of 2012
The undersigned, the district or authorized officer of the below-named contractor (the Contractor”), pursuant to the compliance certification requirement provided in the Ann Arbor Public Schools' (the “School District”) Request For Bid, 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 IFB, the Contractor will not become an “Iran linked business” at any time during the course of performing any services under the contract.
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 Bid for three (3) years from the date it is determined that the person has submitted the false certification.
Contractor:
Name of Company
Signature of Authorized Representative
Name of Authorized Representative
Title of Authorized Representative
Date
File details come from the government source that posted it. Updated .