Disclosures of Investment Activities in Iran

This document is a disclosure form required by the City of Newark, New Jersey for organizations submitting Qualification Statements in response to the Domestic Violence Services solicitation. The form functions as a compliance certification document that bidders must complete and submit as part of their required documentation package. Organizations responding to the RFQ, due by April 3, 2025 at 10:15 am through the City's e-Procurement Portal, are required to disclose any investment activities, business operations, or financial interests related to Iran. The disclosure form is mandatory for all eligible respondents, including for-profit and non-profit organizations, neighborhood and cultural organizations, places of worship, and community-centered entities seeking to provide domestic violence prevention, intervention, support services, and medical care within Newark.

The Disclosure of Investment Activities in Iran form serves as a counterterrorism compliance measure and is part of the comprehensive documentation requirements established by the City of Newark for this procurement. Bidders must certify their compliance status regarding investments or business activities in Iran, which aligns with federal sanctions and state procurement regulations. Failure to complete and submit this disclosure form, along with other required documentation such as business registration certificates, insurance documentation, the Counterterrorism Compliance Checklist, and the Non-Collusion Affidavit, will result in an incomplete submission that the City reserves the right to reject. This disclosure requirement applies uniformly to all potential service providers regardless of organization size or type.