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 for a hospital, surgical, and related medical accessories re-bid. The form is part of the procurement process for the City of Newark, NJ, with bids to be received electronically via the City's e-Procurement Portal until 10:15 am on Thursday, July 17, 2025. Bidders must complete this certification to indicate whether they are involved 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) not being identified on the OFAC list, (B) being identified on the list but unable to certify, or (C) being identified on the list but engaged in activities consistent with federal law, regulations, licenses, or exemptions. The form must be signed by an authorized representative and includes fields for vendor contact information, FEIN, phone number, and address. The document is part of a comprehensive compliance process that may involve imposing sanctions, recovering damages, or seeking debarment for violations.