Certifications and Representations.docx
DOCX document 15 KB Posted
- Solicitation number
- RFQ 751 180000000572 1
- Issued by
- Michigan
About this file
This is a Certifications and Representations document required by the State of Michigan for contractors and vendors engaging in state and local contract opportunities. The document establishes mandatory compliance certifications across multiple regulatory and ethical domains, including prohibitions on forced labor, forced or indentured child labor, and indentured servitude in the production of deliverables. Contractors must certify Michigan business tax filing requirements under Public Act 431 of 1984, including corporate income tax returns, state income tax returns reflecting Michigan-generated income, and proof of withheld and remitted Michigan income tax from owner compensation. Additional certifications address Iran-linked business restrictions per Public Act 517 of 2012, clean corporate citizen status under the Environmental Protection Act of 1994, and compliance with all applicable state and federal laws regarding convict labor if utilized.
The document further requires vendors to certify that all applicable State of Michigan taxes are current and no outstanding debt is owed to the state. Vendors must authorize the State of Michigan to verify the accuracy of all information provided in registration documents, bidding and contracting materials, and any attachments or supplemental documents and processes. The certification form requires completion of vendor name, SIGMA ID (CV or VS number), authorized representative signature, address, telephone number, and email address. This document serves as a prerequisite compliance verification mechanism for vendor eligibility in Michigan state and local contracting opportunities.
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Certifications and Representations
1. Abusive Labor Practices. The Contractor certifies that it will not furnish any Deliverable that was produced fully or partially by forced labor, forced or indentured child labor, or indentured servitude.
2. Certification of Michigan Business- Public Act 431 of 1984, Sec. 268. I certify that the company has, pursuant to the provisions of Sec 268 of Public Act 431 of 1984, filed a Michigan Business Tax Corporate Income Tax Return. I certify that the company has, pursuant to the provisions of Sec 268 of Public Act 431 of 1984, filed a Michigan Income Tax return showing income generated in, or attributed to the State of Michigan. I certify that the company has, pursuant to the provisions of Sec 268 of Public Act 431 of 1984, withheld Michigan Income Tax from compensation paid to the companies owners and remitted the tax to the Michigan Department of Treasury.
3. Iran Linked Business- Public Act 517 of 2012. I certify that the Company is not an Iran-Linked business as defined by Public Act 517 of 2012.
4. Clean Corporate Citizen. I certify that the Company is a Clean Corporate Citizen as defined by the Environmental Protection Act, 1994 PA 451.
5. Convict Labor. The Contractor certifies that if using convict labor, it is complying with all applicable state and federal laws and policies.
6. SOM Debt/Tax Payment. All SOM tax/debts. I certify that all applicable State of Michigan taxes are paid, and that no outstanding debt is owed to the State of Michigan.
7. Authorization to Verify Information provided by Vendor. I authorize the State to verify that all information provided in this registration, in bidding and contracting documents, and any attachments or supplement documents and processes are accurate.
Vendor Name: ______________________________________________________________________ Vendor SIGMA I.D. (CV or VS number): ___________________________________________________ Authorized Representative Signature: ___________________________________________________ Address:____________________________________________________________________________ Telephone: ______________________________________ Email: __________________________________________
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