C.3 Iran Economic Sanctions Act Affidavit (1).docx
DOCX document 63 KB Posted
- Attached to
- Anderson High School Paving
- Solicitation number
- Not on record
- Issued by
- Wayne County, Sterling Village, Michigan
About this file
The document is an Iran Economic Sanctions Act Affidavit for Southgate Community Schools' Paving Contractor Services Request for Proposal (RFP), issued on May 21, 2024. The project involves civil and repaving services for Anderson High School, located at 15475 Leroy St, Southgate, MI 48195, with work to be completed during the summer break between June 12th and September 3rd, 2024. The scope of work includes parking lot repaving, curb work, selective sidewalk replacement, and storm water retention improvements, to be performed during standard shifts from 7 AM to 5 PM, Monday through Friday.
The affidavit requires contractors to certify they are not an "Iran linked business" under Michigan Public Act No. 517 of 2012, with significant penalties for false certification, including potential fines up to $250,000, investigation costs, and a three-year bidding prohibition. Contractors must affirm they are not and will not become an Iran-linked business during the contract period. The RFP is specific to the Southgate Community School district and focuses on preparing the high school's infrastructure for the upcoming academic year by completing critical paving and civil works during the summer months when school is not in session.
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| C.2 Familial Disclosure Affidavit (1).doc | DOC document | |
| SCS 2024 Anderson Paving Contractor RFP Newspaper Advertisement.doc | DOC document | |
| A.1 SCS Parking Lot RFP 05-21-24 (1).pdf | ||
| A.2 Anderson High School - Bid Documents.pdf | ||
| C.4 Non-Collusive Affidavit (1).doc | DOC document | |
| C.5 Criminal Background Disclosure Statement (2).doc | DOC document | |
| C.1 Bid Proposal Form (2).doc | DOC document |
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Text version
SOUTHGATE COMMUNITY SCHOOLS
PAVING CONTRACTOR SERVICES RFP - REQUEST FOR PROPOSAL
ATTACHMENT C.3 – IRAN DISCLOSURE AFFIDAVIT
MAY 21, 2024
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 firm (the “Firm”), pursuant to the compliance certification requirement provided in the Southgate Community Schools (the “School District”) Request For Proposals for PAVING CONTRACTOR SERVICES (the “RFP”), 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 RFP, the Contractor will not become an “Iran linked business” at any time during the course of performing the Work or 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 proposal for three (3) years from the date it is determined that the person has submitted the false certification.
FIRM:
| Name of Firm | |
| By: |
Its:
| STATE OF | ) | |
| )ss. |
COUNTY OF )
This instrument was acknowledged before me on the day of , 2024, by ________________.
, Notary Public ______________ County, My Commission Expires:
Acting in the County of:
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