Iran Affidavit of Compliance.pdf
PDF 188 KB Posted
- Attached to
- ACCESS CONTROL
- Solicitation number
- RFP CROS 200000000020 1
- Issued by
- Sanilac County, Michigan
About this file
This is an Affidavit of Compliance document submitted by Barton Malow Company in response to a Request for Bids issued by Croswell-Lexington Community Schools for Bid Package T1. The affidavit certifies that the bidder and its officers, directors, and employees are not "Iran linked businesses" as defined under Michigan Public Act No. 517 of 2012 (the Iran Economic Sanctions Act), and that the bidder will not become an Iran linked business during contract performance. The document was dated October 3, 2019, and requires notarization by a county notary public.
The affidavit contains significant penalties for false certification, including civil penalties of up to $250,000 or twice the contract amount, whichever is greater, plus investigation costs and reasonable attorney fees. Any person found to have submitted false certification becomes ineligible to bid on future requests for proposals for three years from the determination date. This compliance certification is a mandatory requirement of the school district's bidding process and must be completed and notarized as a condition of bid submission.
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Text version
Barton Malow Company Croswell-Lexington Community Schools Bid Package T1
Bid Proposal Form Page 1 of 1 © 2019 Barton Malow Company October 3, 2019
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 Bidder (the “Bidder”), pursuant to the compliance certification requirement provided in the Croswell-Lexington Community School’s (the “School District”) Request For Bids For (the “RFB”), hereby certifies, represents and warrants that the Bidder (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 Bidder is awarded a Contract as a result of the aforementioned RFB, the Bidder/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 Bidder 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 School District’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 it is determined that the person has submitted the false certification.
BIDDER:
Name of Bidder
By:
Its:
Date:
STATE OF )
)ss.
COUNTY OF ____________ )
This instrument was acknowledged before me on the _____ day of ____________, 2019, by
, Notary Public
______________ County, __________
My Commission Expires:___________
Acting in the County of: ____________
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