Iran Economic Sanctions Act Certification.pdf
PDF 36 KB Posted
- Attached to
- GISD Server Hardware 2026 RFP
- Solicitation number
- RFP GIS 260000001462 1
- Issued by
- Genesee County, Michigan
About this file
This is an Iran Economic Sanctions Act Certification form required by the Genesee Intermediate School District (GISD) located in Flint, Michigan, for bidders participating in the GISD Server Hardware 2026 RFP. The certification document serves as a mandatory attachment (Attachment D) that all bidders must complete and submit with their bids. The form requires bidders to certify under penalty of perjury that they are not an Iran-linked business as defined under Michigan's Iran Economic Sanctions Act (MCL 129.311, et seq.). Bidders must provide their company name, address, contact number, and the name and signature of a person authorized to bind the contractor or vendor. Any bids submitted without this completed certification will not be accepted.
The certification carries significant legal consequences for false submissions, including potential contract termination, bidder ineligibility for three years, and civil penalties of $250,000 or twice the bid amount, whichever is greater, plus investigation and legal costs. The form explicitly states that the school district will rely on bidder representations when evaluating bids. This certification is a compliance requirement established under Public Act 517 of 2012 and must be completed by all contractors, vendors, or respondents seeking to do business with GISD regardless of the goods or services being procured.
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Text version
Attachment D
GENESEE INTERMEDIATE SCHOOL DISTRICT
ERWIN L. DAVIS EDUCATION CENTER
2413 WEST MAPLE AVENUE
FLINT, MI 48507-3493
PUBLIC ACT 517 OF 2012
IRAN ECONOMIC SANCTIONS ACT CERTIFICATION
I am the __________________of __________________, or I am bidding in my individual capacity ("Bidder"), with authority to submit a binding bid for the provision of __________________services to Genesee Intermediate School District. I have personal knowledge of the matters described in this Certification, and I am familiar with the Iran Economic Sanctions Act, MCL 129.311, et seq. ("Act"). I am fully aware that the school district will rely on my representations in evaluating bids.
I certify that Bidder is not an Iran-linked business, as that term is defined in the Act. I understand that submission of a false certification may result in contract termination, ineligibility to bid for three (3) years, and a civil penalty of $250,000 or twice the bid amount, whichever is greater, plus related investigation and legal costs.
Any bids that do not include this Certification shall not be accepted.
Owner Name & Address:
Genesee Intermediate School District 2413 West Maple Avenue
Flint, MI 48507-3493
Contractor/Vendor/Respondent Information:
Name: ______________________________________________________________________
Address: ____________________________________________________________________
( )Contact Number: ______________________________________________________________
Person Authorized to Bind the Contractor/Vendor/Respondent:
Print Name Title
Signature Date
Accessibility Report
Filename:
Attachment D Vendor Certification_.pdf
Report created by:
Organization:
[Enter personal and organization information through the Preferences > Identity dialog.]
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