Attachment D Vendor Certification.doc
DOC document 33 KB Posted
- Attached to
- GCI Army JROTC Air Gun Electronic Target System
- Solicitation number
- RFP GIS 180000000052 1
- Issued by
- Genesee County, Michigan
About this file
This is a vendor certification document issued by Genesee Intermediate School District located in Flint, Michigan, required for bidders seeking to provide services to the district. The certification applies to all service categories and does not specify particular products, quantities, response dates, or contract terms within this document alone. Bidders must complete the certification form by identifying their business entity or individual capacity and the type of services being proposed. The document serves as a prerequisite requirement for bid submission rather than a standalone procurement notice.
The certification mandates compliance with the Iran Economic Sanctions Act (MCL 129.311 et seq.) under Public Act 517 of 2012, requiring bidders to affirm they are not Iran-linked businesses as defined by state law. Submission of false certification carries significant penalties, including contract termination, three-year bid ineligibility, civil penalties of $250,000 or twice the bid amount (whichever is greater), plus investigation and legal costs. All bids must include a sworn and notarized certification; bids lacking this documentation will be rejected. The certification requires notarization before a public notary and must be signed by a person authorized to bind the contractor or vendor.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment C Familial Statement.doc | DOC document | |
| JROTC electronic target Bid request Attachment B.pdf | ||
| JROTC Electronic Target Bid request.pdf | ||
| JROTC electronic target Bid request Attachment A.pdf |
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Text version
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 Click here to enter text of Click here to enter text, 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 sworn and notarized 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
Attachment D
This instrument was acknowledged before me, a Notary Public, in and for ___________________________ County, _____________________ on this _________ day of ________________________, 20_________.
State
Notary Public Signature Date
My Commission Expires:
Acting in the County of:
Seal:
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