C Iran Economic Sanctions Act Certification Form.pdf

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Attached to
Credit for Prior Learning Consulting & Training State and local contract opportunity
Solicitation number
RFP-BDN-250000002803-2
Issued by
Delta County, Edmore Village, Michigan

About this file

This document is an Iran Economic Sanctions Act Certification form for Bay de Noc Community College's Request for Proposal (RFP)/Request for Bid (RFB)/Request for Quotation (RFQ) procurement process. The form requires bidders to certify that they are not an Iran-linked business as defined by Michigan law (MCL 129.311), with the understanding that submitting a false certification can result in serious consequences including contract termination, three-year bidding ineligibility, and potential civil penalties of $250,000 or twice the bid amount.

The certification form is designed to ensure compliance with economic sanctions by requiring bidders to explicitly declare they have no business connections with Iran. The document outlines potential punitive measures for false statements, including financial penalties and legal investigation costs. Bidders must complete the form by providing their title, organization/individual name, signature, printed name, and date, affirming their understanding of and compliance with the Iran Economic Sanctions Act.

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Text version

Iran Economic Sanctions Act Certification

I am the ___________________________________________________(title) of _____________________________________________(bidder), or I am bidding in my individual capacity (“Bidder”), with authority to submit a binding bid for the RFP/RFB/RFQ from Bay de Noc Community College. 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 College 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.

(signature)

(printed)

(date)

Exhibit C

File details come from the government source that posted it. Updated .