Exhibit C_Certification re Prohibited Entity.pdf
PDF 63 KB Posted
- Solicitation number
- 25RFP18004
- Issued by
- Minnehaha County, South Dakota
About this file
This document is a Contractor Certification form required by the State of South Dakota under Executive Order 2023-02. The certification applies to all contractors, vendors, suppliers, construction contractors, and subcontractors that submit bids or offers to Executive Branch Agencies of South Dakota. The form requires contractors to certify that they are not "Prohibited Entities" as defined by the order. A Prohibited Entity is any organization, corporation, partnership, or business association, including subsidiaries, parent companies, or affiliates, that is ultimately owned or controlled directly or indirectly by a foreign national, foreign parent entity, or foreign government from China, Iran, North Korea, Russia, Cuba, or Venezuela. The certification must be signed by an authorized representative of the contractor and dated prior to contract award. The form does not apply to sole proprietorships or individual natural U.S. citizens.
Contractors making this certification must acknowledge several obligations and consequences. If a contractor becomes a Prohibited Entity after certification, it must provide immediate written notice to all Executive Branch Agencies with which it holds a contract. Contractors understand that Executive Branch Agencies may terminate any contract if the contractor becomes a Prohibited Entity or submits a false certification. There are no pricing terms, set-asides, or contract renewal options specified in this certification document, as it serves solely as a compliance verification form required prior to contract execution.
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Other files
| File | Type | Posted |
|---|---|---|
| Exhibit C_Certification re Prohibited Entity.pdf | ||
| RFP Document.pdf | ||
| Exhibit B-W-9 Form.pdf | ||
| Taste Testing Evaluation.pdf | ||
| Addendum 1-RFP Document.pdf | ||
| Taste Testing Evaluation.pdf | ||
| RFP Document.pdf | ||
| Exhibit B-W-9 Form.pdf |
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Text version
CONTRACTOR CERTIFICATION REQUIRED BY
SOUTH DAKOTA EXECUTIVE ORDER 2023-02
Section 1 Definitions. The words used in this Certification shall mean:
1.1. “Prohibited Entity,” an organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, limited liability company, or other entity or business association, including all wholly-owned subsidiaries, majority-owned subsidiaries, parent companies, or affiliates, of those entities or business associations, regardless of its principal place of business, that is ultimately owned or controlled, directly or indirectly, by a foreign national, a foreign parent entity, or foreign government from China, Iran, North Korea, Russia, Cuba, or Venezuela;
1.2. “Executive Branch Agencies,” each state agency, authority, bureau, board, commission, department, or institution of the State of South Dakota that is controlled by the Governor;
1.3. “Contract,” any type of agreement by or on behalf of the State to sell or lease supplies or goods, or to provide services, professional services, construction, or public improvements, to the
State in return for a fee, or any other form of compensation to be paid or provided by the State;
and
1.4. “Contractor,” a vendor, supplier, construction contractor, or subcontractor that has submitted a bid or offer for or has been selected to engage in providing goods or services to the
State but does not mean a sole proprietorship or individual natural U.S. citizen.
Section 2. Certification. The undersigned hereby certifies to the State of South Dakota that:
2.1. The undersigned is not a Prohibited Entity.
2.2 If at any time after making this certification the undersigned becomes a Prohibited Entity, the undersigned will provide immediate written notice to all Executive Branch Agencies with whom the undersigned has a Contract. The undersigned understands and agrees that if the undersigned becomes a Prohibited Entity, Executive Branch Agencies may terminate any
Contract with the undersigned.
2.3 The undersigned acknowledges and agrees that Executive Branch Agencies have the right to terminate a Contract with any Contractor that submits a false certification.
Dated _______________________
Contractor:
By: _________________________________
Printed Name: ________________________
Title: _______________________________
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