Certifications.docx

CERTIFICATIONS

Please initial your acceptance of each item below. Failure to accept any of these items may result in vendor disqualification.

_____ Vendor agrees to accept purchase order for this purchase.

_____ Vendor has read and agree to the Terms and Conditions of this Request for Quote as identified at http://www.delta.edu/community/_documents/terms-conditions-of-purchase.pdf. If no, please describe proposed terms and conditions.

_____ Vendor acknowledges that any responses, materials, correspondence or documents provided to the College are subject to the State of Michigan Freedom of Information Act and may be released to third parties in compliance with that act.

_____ Vendor certifies that no actual or potential conflicts of interest exist between the Vendor and Delta College under this agreement. Each Vendor agrees to inform Delta College immediately, should a change in conditions occur that would produce an actual conflict of interest or the appearance of a conflict of interest. Further, by submitting a response, Vendor certifies that the Vendor has neither provided any private inducements or consideration to any Delta College trustee, officer, employee or agent in return for favorable treatment with respect to the award of this proposal, nor accepted any private inducements or consideration from any College trustee, officer, employee or agent in connection with the RFP. Should any such unauthorized transactions be discovered, the Vendor will be considered in breach of its agreement with Delta College and the agreement between the Vendor and Delta College is immediately void. Under these circumstances, Delta College will cooperate fully with law enforcement to determine whether such a breach has violate any laws of the State of Michigan or the United States of America. This clause will result in the termination and/or expiration of this agreement without respect to the cause or reason for a breach of this type.

_____ Vendor agrees not to discriminate in employment, education, public accommodation or public service on the basis of religion, race, color, national origin, sex, marital status, sexual orientation, height, weight, arrest record, veteran status, disability or other classifications in any of its policies, procedures, or practices. This non-discrimination policy covers access to the services, which are subject of this agreement. Vendor agrees that it will abide by this non-discrimination policy with respect to Delta College employees and students participating in these services.

_____ It is the practice of Delta College to not conduct business with parties included on the Excluded Parties List System (EPLS). The Excluded Parties List System (List of Parties Excluded from Federal Procurement and Non- procurement programs) - General Service Administration’s listing of contractors debarred, suspended, proposed for debarment, or declared ineligible from doing business with the Federal Government) for individuals and entities who are either debarred or suspended from receiving Federal assistance or Federal funds. The purpose of EPLS is to provide a single comprehensive list of individuals and firms excluded by Federal government agencies from receiving federal contracts or federally approved subcontracts and from certain types of federal financial and nonfinancial assistance and benefits. The EPLS is used to keep agencies abreast of administrative, as well as, statutory exclusions taken throughout the Federal

Government. Vendor certifies it not on the Excluded Parties List.

_____ (For construction projects greater than $2,000). Vendor certifies it will abide with the terms of the Davis-Bacon Act (40 U.S.C 3141-3148) as amended for the term of this contract.

_____ (For construction projects) Vendor certifies it will abide by the terms of the Copeland “Anti-Kickback” Act (40 U.S.C. 3145) as supplemented by Department of Labor Regulations.

_____ (For contracts in excess of $100,000 involving the employment of mechanics and laborers) Vendor certifies it will abide by the terms of the Contract Work Hours and Safety Standards Act (U.S.C. 3701-3708) as supplemented by Department of Labor Regulations.

_____ (For contracts in excess of $100,000) Vendors certifies it is in compliance with the Byrd Anti-Lobbying Amendment (U.S.C. 1352).

_____ (For contracts in excess of $150,000) Vendor certifies it will abide by the terms of the Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1387) as amended.

I hereby affirm that I have read and understand all the terms and conditions of RFP in compliance with PA 517, vendors are required to certify that the following: (1) that I am duly authorized to legally bind the company submitting this proposal; and (2) that the company submitting this proposal is not an “Iran linked business,” as that term is defined in Section 2(e) of the Iran Economic Sanctions Act, being Michigan Public Act No. 517 of 2012; and

(3) That I and the company submitting this proposal will immediately comply with any further certifications or information submissions requested by the College in this regard.”

Additionally, I have examined the specifications and instructions herein and agree, provided I am awarded a purchase order, to provide as specified for the amount shown. All deviations from the specifications and terms are in writing and attached.

Vendor Information:

Vendor Name:

Representative Name:

Signature:

Address:

City, State, Zip

Phone

Fax

E-mail

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