Attachment C - Appendix C - Iran Sanction.pdf
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- Solicitation number
- RFP DET 270000000026 2
- Issued by
- Wayne County, Detroit City, Michigan
About this file
This is an Iran Economic Sanctions Affidavit of Compliance required by Detroit Public Schools Community District for a Request For Proposal related to Pershing High School Bid Pack 2C- Signage and Final Cleaning in Michigan. The affidavit serves as a certification document that bidders must complete and submit as part of their proposal response. Under Michigan Public Act No. 517 of 2012, all bidders must certify that they are not an "Iran linked business" and commit to maintaining compliance throughout the contract performance period. The affidavit requires the authorized representative of the bidding company to sign and swear before a notary public that all statements contained in the disclosure are true and accurate.
An "Iran linked business" is defined as an individual or entity, including successors, parent companies, subsidiaries, and companies under common control, that engages in investment activities of $20,000,000 or more with Iran's energy sector, including provision of products used to construct or maintain oil or liquefied natural gas pipelines. Bidders who submit false certifications face significant penalties including civil fines of up to $250,000 or two times the contract amount, whichever is greater, plus investigation costs and reasonable attorney fees. Additionally, any person found to have submitted a false certification becomes ineligible to bid on Requests For Proposal for three years from the determination date.
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APPENDIX C – IRAN ECONOMIC SANCTIONS
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 bidder (the “Bidder”), pursuant to the compliance certification requirement of Detroit Public Schools Community District (the “District”) [Request For Proposal for (the “RFP”), 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 the Bidder is awarded a contract as a result of the aforementioned RFP, the Bidder 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 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 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.
STATE OF MICHIGAN)
) ss
COUNTY OF )
The undersigned, authorized representative of the bidder, (Company name) does hereby acknowledge that bidder has read the foregoing disclosure statement and the statements herein contained are true.
Signature of Bidder (Company) Representative
Print Name
Title
Subscribed and sworn to before me this day of , .
Notary Public, County, Michigan My commission expires: / /
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