D.3 Iran Economic Sanctions Act Affidavit.doc
DOC document 37 KB Posted
- Solicitation number
- RFP SCD 180000000221 1
- Issued by
- Wayne County, Sterling Village, Michigan
About this file
This is an Iran Economic Sanctions Act Affidavit of Compliance document for Southgate Community Schools' Request for Proposal for Auditorium Lighting, Sound, and Stage Curtain Replacement Services, dated October 19, 2017. The document serves as a certification requirement for contractors bidding on the auditorium lighting replacement project. Contractors must affirm that they are not an "Iran linked business" as defined under Michigan Public Act No. 517 of 2012 and commit to maintaining this status throughout contract performance if awarded.
The affidavit establishes compliance penalties and enforcement mechanisms for false certifications, including civil penalties of up to $250,000 or twice the contract amount, whichever is greater, plus investigation costs and attorney fees. Additionally, any person found to have submitted a false certification becomes ineligible to bid on proposals for three years from the determination date. The document requires execution by an authorized contractor representative and notarization before a notary public, with spaces provided for contractor name, authorized officer signature, title, date of acknowledgment, notary information, and county details.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
SOUTHGATE COMMUNITY SCHOOLS
ANDERSON HIGH SCHOOL
REQUEST FOR PROPOSAL (RFP) – AUDITORIUM LIGHTING, SOUND AND STAGE CURTAIN REPLACEMENT SERVICES
ATTACHMENT D.3 – IRAN DISCLOSURE STATEMENT
OCTOBER 19, 2017
AFFIDAVIT OF COMPLIANCE – IRAN ECONOMIC SANCTIONS ACT
Michigan Public Act No. 517 of 2012 The undersigned, the owner or authorized officer of the below named CONTRACTOR (the “Contractor”), pursuant to the compliance certification requirement provided in the Southgate Community Schools’ (the “School District”) Request For Proposals For AUDITORIUM LIGHTING REPLACEMENT SERVICES (the “RFP”), hereby certifies, represents and warrants that the Contractor (including its officers, directors and employees) is not an “Iran linked business” within the meaning of the Iran Economic Sanctions Act, Michigan Public Act No. 517 of 2012 (the “Act”), and that in the event Contractor is awarded a contract as a result of the aforementioned RFP, the Contractor will not become an “Iran linked business” at any time during the course of performing the Work or any services under the contract.
The Contractor further acknowledges that any person who is found to have submitted a false certification is responsible for a civil penalty of not more than $250,000.00 or 2 times the amount of the contract or proposed contract for which the false certification was made, whichever is greater, the cost of the Southgate Community Schools investigation, and reasonable attorney fees, in addition to the fine. Moreover, any person who submitted a false certification shall be ineligible to bid on a request for proposal for three (3) years from the date it is determined that the person has submitted the false certification.
CONTRACTOR:
Name of CONTRACTOR By:
Its:
STATE OF
)ss.
COUNTY OF )
This instrument was acknowledged before me on the day of , 2017, by ________________.
, Notary Public
______________ County, My Commission Expires:
Acting in the County of:
File details come from the government source that posted it. Updated .