Certificate_of_Non-Involvement_in_Prohibited_Activities_In_Russia_or_Belarus.pdf

This document is a Certification of Non-Involvement in Prohibited Activities in Russia or Belarus form for Contract #07-WS2025, issued by the State of New Jersey. The form is designed for vendors seeking to enter into a contract with a state agency, requiring them to disclose whether they are identified on the Office of Foreign Assets Control (OFAC) Specially Designated Nationals and Blocked Persons list in relation to activities in Russia or Belarus. Vendors must choose one of three certification options: (A) not being identified on the list, (B) being identified but unable to certify, or (C) being identified but engaged in activities consistent with federal law, regulations, licenses, or exemptions.

The form requires detailed vendor information including contact details, FEIN, phone number, and address. It defines "Vendor" broadly to include various business entity types such as corporations, partnerships, joint ventures, and other organizational structures. The document is part of a compliance process for the State of New Jersey, dated NJ Rev. 1.22.2024, and appears to be associated with a potential Office Furniture & Installation contract for the City of Newark, with bids to be received via the City's e-Procurement Portal by 10:15 am on Friday, June 27, 2025.