Iran Economic Sanctions Act Certification.pdf

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Attached to
2026 GISD Printers RFP
Solicitation number
RFP GIS 260000002464 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 located at 2413 West Maple Avenue, Flint, Michigan 48507-3493. The certification is mandated under Public Act 517 of 2012 and must be completed and submitted by all bidders seeking to provide services to the school district. Bidders are required to certify that they are not an Iran-linked business as defined under MCL 129.311, et seq. The form requires the bidder to provide their name, address, contact number, and identification of the person authorized to bind the contractor or vendor. Any bids submitted without this completed certification will not be accepted by the school district.

Bidders who submit false certifications face significant penalties including contract termination, ineligibility to bid for three years, a civil penalty of $250,000 or twice the bid amount (whichever is greater), and reimbursement of related investigation and legal costs. The certification represents a binding representation that the school district will rely upon during the bid evaluation process. This document serves as a compliance requirement for all procurement activities with the Genesee Intermediate School District and applies regardless of the type or value of services being procured.

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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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