Certificate_of_Non-Involvement_in_Prohibited_Activities_In_Russia_or_Belarus.pdf

The 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 required for vendors seeking to enter into a contract with a state agency, mandating disclosure of any 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) the vendor is not identified on the OFAC list, (B) the vendor is identified on the list and unable to certify compliance, or (C) the vendor is identified on the list but engaged in activity consistent with federal law, regulation, license, or exemption. The form collects standard vendor information including contact details, FEIN, phone number, and address. The document is part of a broader compliance process for the City of Newark's Armed Security Guards contract, ensuring vendors meet specific regulatory requirements regarding international business activities.