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 complete a certification regarding their involvement with entities on the Office of Foreign Assets Control (OFAC) Specially Designated Nationals and Blocked Persons list related to Russia and/or Belarus.

The certification requires vendors to select one of three options: (A) confirming they are not identified on the OFAC list, (B) acknowledging identification on the list without further engagement, or (C) being identified on the list but engaged in activities consistent with federal law, regulations, licenses, or exemptions. The form collects standard vendor information including contact details, FEIN, phone number, and address. The document is part of a broader procurement process for a Maintenance and Repair: Cranes project for the City of Newark, New Jersey, with bids to be received electronically via the City's e-Procurement Portal until 10:00 am on Tuesday, June 17, 2025.