Iran_Divestment_Act_Form.pdf
PDF 53 KB Posted
- Attached to
- Mineral Sprigs Middle School HVAC Project
- Solicitation number
- 260-260-042020241-401020
- Issued by
- Forsyth County, Winston-Salem City, North Carolina
About this file
The document provided is a Certification of Eligibility under the Iran Divestment Act, related to a state and local contract opportunity for the Mineral Springs Middle School HVAC Gym Replacement project in Forsyth County and Winston-Salem City, North Carolina. The certification requires vendors to attest that they are not identified on the Final Divestment List created by the State Treasurer for engaging in investment activities in Iran, and that they will not utilize any subcontractors on the list. The authorized representative of the vendor must sign and date the certification.
The state and local contract opportunity is for the HVAC Gym Replacement project at Mineral Springs Middle School, located in Forsyth County and Winston-Salem City, North Carolina. No other details about the project scope, timeline, or bidding requirements are provided in the document.
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Other files
| File | Type | Posted |
|---|---|---|
| MB Particpation Forms.doc | DOC document | |
| Mineral Springs Gym HVAC Bid Form 260-042020241-401020.pdf |
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Text version
CERTIFICATION OF ELIGIBILITY
Under the Iran Divestment Act
Pursuant to G.S. 147-86.59, any person identified as engaging in investment activities in Iran, determined by appearing on the Final Divestment List created by the State Treasurer pursuant to G.S. 147-86.58, is ineligible to contract with the State of North Carolina or any political subdivision of the State. The Iran Divestment Act of 2015, G.S. 147-86.55 et seq.* requires that each vendor, prior to contracting with the State certify, and the undersigned on behalf of the
Vendor does hereby certify, to the following:
1. that the vendor is not identified on the Final Divestment List of entities that the State
Treasurer has determined engages in investment activities in Iran;
2. that the vendor shall not utilize on any contract with the State agency any subcontractor that is identified on the Final Divestment List; and
3. that the undersigned is authorized by the Vendor to make this Certification.
Vendor: ___________________________
By: ____________________________________________ __________________________
Signature Date
Printed Name Title
The State Treasurer’s Final Divestment List can be found on the State Treasurer’s website at the address:
astroupe Text Box https://www.nctreasurer.com/media/2798/download
File details come from the government source that posted it. Updated .