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 for vendors contracting with the State of Michigan, outlining required certifications for business operations. The document requires vendors to certify compliance with seven key areas: prohibition of abusive labor practices including forced labor and child labor; confirmation of Michigan business status and tax compliance under Public Act 431 of 1984; certification of non-Iran-linked business status under Public Act 517 of 2012; Clean Corporate Citizen status under Environmental Protection Act 451 of 1994; compliance with convict labor laws; verification of paid State of Michigan taxes and absence of outstanding debts.
The document concludes with an authorization section allowing the State to verify all provided information, and requires the vendor's business name, SIGMA ID number, authorized representative signature, address, telephone number, and email address. No specific pricing terms, set-asides, or funding requirements are mentioned in this certification document.
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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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