Iran Business Relationship Affidavit.pdf

PDF 72 KB Posted

Attached to
LIGHTING INSTALLATION
Solicitation number
RFP SPSD 260000001328 1
Issued by
Saginaw County, Michigan

About this file

This is an Iran Business Relationship Affidavit required by the State of Michigan for all bids, proposals, and qualification statements submitted in response to state contract opportunities. Effective April 1, 2013, all respondents must certify compliance with the Michigan Iran Economic Sanctions Act, 2012 P.A. 517, at the time of submittal. The affidavit requires that respondents declare, under civil penalty for false certification, that they are fully eligible to submit bids under Michigan law and that they do not qualify as an "Iran linked business" as defined in the Act.

Respondents must sign and include the completed affidavit with their bid or proposal submission. The document specifies signature, title, company name, and date fields to be completed by the authorized representative of the bidding entity. Failure to provide this certification or providing false information constitutes a violation of state law and may result in bid disqualification and civil penalties.

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Iran Business Relationship Affidavit

Effective April 1, 2013 all bids, proposals and/or qualification statements received in the State of

Michigan must comply with the “Iran Economic Sanctions Act”. The Following certification is to be signed and included at time of submittal:

Pursuant to the Michigan Iran Economic Sanctions Act, 2012 P.A. 517, by submitting a bid, proposal or response, respondent certifies, under civil penalty for false certification, that it is fully eligible to do so under law and that it is not an “Iran linked business,” as that term is defined in the Act.

Signature Title

Company Date

File details come from the government source that posted it. Updated .