Attachment D Iran Economic Sanctions Act Certification.pdf
PDF 39 KB Posted
- Attached to
- GISD Workflow Solution RFP Rebid
- Solicitation number
- RFP GIS 260000001292 1
- Issued by
- Genesee County, Michigan
About this file
This is a vendor certification form issued by the Genesee Intermediate School District located at 2413 West Maple Avenue, Flint, Michigan 48507-3493. The document serves as a compliance certification required for bidders submitting proposals for services to the school district.
The certification requires bidders to affirm compliance with Public Act 517 of 2012, the Iran Economic Sanctions Act, MCL 129.311 et seq. Bidders must certify that they are not an Iran-linked business as defined by the Act. The form requires completion by either the principal officer of the bidding company or an individual bidder with authority to submit binding bids. Bidders must provide their name, address, contact number, and the name, title, and signature of the person authorized to bind the contractor or vendor. Submission of this completed certification is mandatory; any bids received without this certification will not be accepted.
False certification carries significant penalties, including contract termination, ineligibility to bid for three years, civil penalties of $250,000 or twice the bid amount whichever is greater, plus investigation and legal costs. The form includes an accessibility report indicating the document passed 29 accessibility checks with two items requiring manual verification and one check skipped, with no failures noted.
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Text version
Attachment D
GENESEE INTERMEDIATE SCHOOL DISTRICT
ERWIN L. DAVIS EDUCATION CENTER
2413 WEST MAPLE AVENUE
FLINT, MI 48507-3493
PUBLIC ACT 517 OF 2012
IRAN ECONOMIC SANCTIONS ACT CERTIFICATION
I am the __________________of __________________, or I am bidding in my individual capacity ("Bidder"), with authority to submit a binding bid for the provision of Click here to enter text. services to Genesee Intermediate School District. I have personal knowledge of the matters described in this Certification, and I am familiar with the Iran Economic Sanctions Act, MCL 129.311, et seq. ("Act"). I am fully aware that the school district will rely on my representations in evaluating bids.
I certify that Bidder is not an Iran-linked business, as that term is defined in the Act. I understand that submission of a false certification may result in contract termination, ineligibility to bid for three (3) years, and a civil penalty of $250,000 or twice the bid amount, whichever is greater, plus related investigation and legal costs.
Any bids that do not include this Certification shall not be accepted.
Owner Name & Address:
Genesee Intermediate School District 2413 West Maple Avenue
Flint, MI 48507-3493
Contractor/Vendor/Respondent Information:
Name: ______________________________________________________________________
Address: ____________________________________________________________________
( )Contact Number: ______________________________________________________________
Person Authorized to Bind the Contractor/Vendor/Respondent:
Print Name Title
Signature Date
Accessibility Report
Filename:
Attachment D Vendor Certification_.pdf
Report created by:
Organization:
[Enter personal and organization information through the Preferences > Identity dialog.]
Summary
The checker found no problems in this document.
Needs manual check: 2
Passed manually: 0
Failed manually: 0
Skipped: 1
Passed: 29
Failed: 0
Detailed Report
Document
Rule Name Status Description
Accessibility permission flag Passed Accessibility permission flag must be set
Image-only PDF Passed Document is not image-only PDF
Tagged PDF Passed Document is tagged PDF
Logical Reading Order Needs manual check Document structure provides a logical reading order
Primary language Passed Text language is specified
Title Passed Document title is showing in title bar
Bookmarks Passed Bookmarks are present in large documents
Color contrast Needs manual check Document has appropriate color contrast
Page Content
Rule Name Status Description
Tagged content Passed All page content is tagged
Tagged annotations Passed All annotations are tagged
Tab order Passed Tab order is consistent with structure order
Character encoding Passed Reliable character encoding is provided
Tagged multimedia Passed All multimedia objects are tagged
Screen flicker Passed Page will not cause screen flicker
Scripts Passed No inaccessible scripts
Timed responses Passed Page does not require timed responses
Navigation links Passed Navigation links are not repetitive
Forms
Rule Name Status Description
Tagged form fields Passed All form fields are tagged
Field descriptions Passed All form fields have description
Alternate Text
Rule Name Status Description
Figures alternate text Passed Figures require alternate text
Nested alternate text Passed Alternate text that will never be read
Associated with content Passed Alternate text must be associated with some content
Hides annotation Passed Alternate text should not hide annotation
Other elements alternate text Passed Other elements that require alternate text
Tables
Rule Name Status Description
Rows Passed TR must be a child of Table, THead, TBody, or TFoot
TH and TD Passed TH and TD must be children of TR
Headers Passed Tables should have headers
Regularity Passed Tables must contain the same number of columns in each row and rows in each column
Summary Skipped Tables must have a summary
Lists
Rule Name Status Description
List items Passed LI must be a child of L
Lbl and LBody Passed Lbl and LBody must be children of LI
Headings
Rule Name Status Description
Appropriate nesting Passed Appropriate nesting
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| Name: |
| Address: |
| Print Name: |
| Title: |
| Date: |
| capacity Bidder with authority to submit a binding bid for the provision of Click here to enter: |
| Company Name: |
| Area Code: |
| City State Zip Code: |
| Phone Number: |
File details come from the government source that posted it. Updated .