Attachment_D_-_Iran_Contracting_Act_Form.pdf
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- Attached to
- NUTRITION SERVICES MILK AND DAIRY PRODUCTS
- Solicitation number
- 25-4837
- Issued by
- California
About this file
The document is an Iran Contracting Act Certification form for a California state and local contract opportunity related to Nutrition Services Milk and Dairy Products. This certification is required for any proposer/bidder submitting a contract proposal equal to or exceeding $1,000,000, mandating that the bidder is not identified on the California Department of General Services (DGS) list of ineligible businesses and is not engaged in investment activities in Iran.
The certification outlines specific conditions that would constitute investment activities in Iran, such as providing goods or services of $20 million or more in Iran's energy sector or extending $20 million or more in credit to entities operating in Iran's energy sector. The form requires the bidder to certify their compliance, with potential penalties for false certification including civil penalties up to $250,000 or twice the contract amount, contract termination, and a three-year ban on bidding for contracts. The form must be submitted with the bid/proposal and covers not just the primary contractor but also any subconsultants or subcontractors involved in the project.
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Text version
ATTACHMENT #D
IRAN CONTRACTING ACT CERTIFICATION
PRIME CONSULTANT/CONTRACTOR MUST COMPLETE, SIGN AND SUBMIT THIS CERTIFICATION
Pursuant to California Public Contract Code §§ 2202-2208, commonly referred to as the “Iran Contracting Act of 2010,” a proposer/bidder1 for a contract equal to or in excess of one million dollars ($1,000,000) must complete, sign and submit this certification at the time of proposal submission for a new contract or renewal of an existing contract, thereby certifying that the proposer/bidder is not identified on the California Department of General Services (DGS) list of ineligible businesses or persons and that the proposer/bidder is not engaged in investment activities in Iran in violation of the Iran Contracting Act of 2010.
California law establishes penalties for providing false certifications, including civil penalties equal to the greater of $250,000 or twice the amount of the contract for which the false certification was made; contract termination; and three-year ineligibility to bid on contracts. (California Public Contract Code § 2205.)
A person engages in investment activities in Iran if any of the following is true:
• The person provides goods or services of twenty million dollars ($20,000,000) or more in the energy sector of Iran, including a person that provides oil or liquefied natural gas tankers, or products used to construct or maintain pipelines used to transport oil or liquefied natural gas, for the energy sector of Iran.
• The person is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person, for 45 days or more, if that person will use the credit to provide goods or services in the energy sector in Iran and is identified on a list created pursuant to subdivision (b) of California Public Contract Code § 2203 as a person engaging in investment activities in Iran as described in subdivision (a).
CERTIFICATION
I, the official named below, certify I am duly authorized to execute this certification on behalf of the firm/financial institution identified below, and the firm/financial institution identified below is not on the current list of persons engaged in investment activities in Iran created by the DGS pursuant to California Public Contract Code §2203(b) and is not a financial institution extending twenty million dollars ($20,000,000) or more in credit to another person/firm, for forty-five (45) days or more, if that other person/firm will use the credit to provide goods or services in the energy sector in Iran and is identified on the current list of persons engaged in investment activities in Iran created by DGS.
NAME OF FIRM/FINANCIAL INSTITUTION: FEDERAL ID NO. (OR “N/A”):
BY (AUTHORIZED SIGNATURE):
PRINTED NAME AND TITLE OF PERSON SIGNING:
LOCATION EXECUTED (COUNTY AND STATE): DATE EXECUTED
(MM/DD/YYYY):
1 For purposes of this certification, the terms “proposer” and “bidder” include any subconsultants or subcontractors of the party contracting with the public entity. By signing this certification, the party contracting with the public entity is also certifying that no subconsultants or subcontractors engaged on the contract are identified on the California Department of General Services (DGS) list of ineligible businesses/persons or are engaged in investment activities in Iran in violation of the Iran Contracting Act of 2010.
THIS FORM MUST BE SUBMITTED WITH BID/PROPOSAL
File details come from the government source that posted it. Updated .