Host Server Replacement - Addendum 2.pdf

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Attached to
HOST SERVER REPLACEMENT RFP - FY24
Solicitation number
RFP - ADVA - 240000000963
Issued by
Wayne County, Dearborn City, Michigan

About this file

This document is an addendum to the HOST SERVER REPLACEMENT RFP - FY24 issued by the Advanced Technology Academy located in Wayne County, Michigan. The addendum informs vendors that two required forms, the Familial Disclosure Statement and the Certification of Compliance - Iran Economic Sanctions, were inadvertently omitted from the original RFP package. Vendors are instructed to complete and submit these forms along with their proposals. The RFP is seeking proposals for the replacement of the academy's host servers. The deadline for submitting proposals has not changed.

The addendum also provides details on the members of the Advanced Technology Academy School Board and the Superintendent/CAO. Vendors are required to disclose any familial relationships between their staff and the school board or superintendent. Additionally, vendors must certify that they are not an "Iran Linked Business" as defined by Michigan's Iran Economic Sanctions Act. Failure to provide truthful certifications may result in civil penalties and the vendor being barred from bidding on future RFPs for three years.

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RFP - Host Server Replacement FY24.docx DOCX document
Host Server Replacement - Q —

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Text version

January 31, 2024

Purchasing Department

Advanced Technology Academy

RE: HOST SERVER REPLACEMENT RFP – FY24

Missing Required Forms to be Completed

It has come to the a en on of Advanced Technology Academy, that the required “Familial Disclosure

Statement” and “Cer fica on of Compliance – Iran Economic Sanc ons” forms were not provided to vendors to submit with this RFP. These forms are required to be considered for this bid.

Please complete the a ached forms and submit them with your proposals. For those vendors who have already sent in their physical RFP packets, these forms only will be acceptable via email to Danielle

Corbeil: daniellec@veritasacctg.com.

We apologize for the oversite and appreciate your assistance in this ma er.

Thank you, Danielle Corbeil

Contracted Accoun ng Support

Veritas Accoun ng, LLC

BID DISCLOSURE STATEMENT – FAMILIAL RELATIONSHIP

Pursuant to MCL 380.1267, a sworn and notarized statement disclosing any familial relationship that exists between the owner or any employee of the bidder and any member of the Advanced Technology Academy School Board or the Advanced Technology Academy's Superintendent/CAO must be accompanied with the bid.

The members of the Waterford School District School Board are: Steven Borich, Dr. Janice Gilliland, Kenneth Williams, Marquis Scott and Kevin Ford.

The Advanced Technology Academy's Superintendent/CAO is: Barry Hawthorne

� The Following are the familial relationships:

� There are none.

STATE OF MICHIGAN )

) ss

COUNTY OF_____________)

The undersigned, authorized representative of bidder (insert name) __________________ does hereby acknowledge that bidder has read the foregoing disclosure statement and the statements herein contained are true.

Signature of Bidder Representative

Print Name

Title

Subscribed and sworn to before me this _____day of ___________________, ________.

Notary Public, _______________________County, Michigan

CERTIFICATION OF COMPLIANCE – IRAN ECONOMIC SANCTIONS ACT

Michigan Public Act No. 517 of 2012

The undersigned, the owner, or authorized officer of the below-named company (the “Company”), pursuant to the compliance certification requirement provided in the Advanced Technology Academy’s Request For Proposal (the “RFP”), hereby certifies, represents, and warrants that the Company (which includes 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 the Company is awarded a contract by the Waterford School District as a result of the aforementioned RFP, the Company is not and will not become an “Iran Linked Business” at any time during the course of performing any services under the contract.

The Company 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 two (2) times the amount of the contract or proposed contract for which the false certification was made, whichever is greater, the cost of the Advanced Technology Academy's 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 that it is determined that the person has submitted the false certification.

Name of Company Name of Authorized Representative

Title of Authorized Representative Signature

Date

STATE OF MICHIGAN )

) ss

COUNTY OF_____________)

The undersigned, authorized representative of bidder (insert name) __________________ does hereby acknowledge that bidder has read the foregoing disclosure statement and the statements herein contained are true.

Signature of Bidder Representative

Print Name

Title

Subscribed and sworn to before me this _____day of ___________________, ________.

Notary Public, _______________________County, Michigan

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