Iran Economic Sanctions Act Affidavit.pdf
PDF 90 KB Posted
- Attached to
- Musical Instruments
- Solicitation number
- 25-0403
- Issued by
- Oakland County, Michigan
About this file
This document is an Iran Economic Sanctions Act Affidavit of Compliance for the Walled Lake Consolidated School District's Invitation for Bids (IFB) for the Purchase of Musical Instruments. The affidavit requires bidders to certify that they are not an "Iran linked business" as defined by Michigan Public Act No. 517 of 2012, and that they will not become an "Iran linked business" during the contract performance.
The affidavit outlines significant legal and financial consequences for submitting a false certification, including potential civil penalties up to $250,000.00 or twice the contract amount, investigation costs, attorney fees, and a three-year prohibition from bidding on proposals. The document provides a template for bidders to complete, including signature lines for the bidder's representative and a notary public, formalizing the certification of compliance with the Iran Economic Sanctions Act.
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Other files
| File | Type | Posted |
|---|---|---|
| IFB 25-0403 Musical Instruments.pdf | ||
| Familial Disclosure Affidavit.pdf |
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Text version
ATTACHMENT C
IRAN ECONOMIC SANCTIONS ACT AFFIDAVIT OF COMPLIANCE
Michigan Public Act No. 517 of 2012
The undersigned, the owner or authorized officer of the below-named Bidder (“Bidder”), pursuant to the compliance certification requirement provided in the Walled Lake Consolidated School District’s (the “School District”) Invitation for Bids for the Purchase of Musical Instruments (the “IFB”), 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 IFB, the Bidder will not become an “Iran linked business” at any time during the course of performing any Work 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 the 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 ____________, 20__, by
, Notary Public
______________ County, My Commission Expires:
Acting in the County of
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| COUNTY OF: |
| undefined: |
| Notary Public: |
| My Commission Expires: |
| Acting in the County of: |
| Day: |
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