Iran Economic Sanctions Act Certification.pdf
PDF 36 KB Posted
- Attached to
- 2026 GISD Surveillance Camera RFP
- Solicitation number
- RFP GIS 260000002359 2
- 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 participation in the 2026 GISD Surveillance Camera Request for Proposal. The certification is mandated under Public Act 517 of 2012 and must be completed and submitted by all bidders as a condition of bid acceptance. Bidders are required to certify that they are not an Iran-linked business as defined under the Iran Economic Sanctions Act, MCL 129.311 et seq. The form requires the bidder to provide their name, address, contact information, and designation of a person authorized to bind the contractor or vendor, along with their signature and date of submission.
Submission of a false certification carries significant penalties, including contract termination, ineligibility to bid for three years, and a civil penalty of $250,000 or twice the bid amount, whichever is greater, plus investigation and legal costs. Any bids submitted without this certification will not be accepted by the school district. The certification form confirms that bidders have personal knowledge of the matters described and understand that the school district will rely on their representations during the bid evaluation process.
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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
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