Iran Economic Sanctions Act Form.pdf

PDF 12 KB Posted

Attached to
Adams High School Drainage
Solicitation number
FRS11502
Issued by
Macomb County, Richland Village, Michigan

About this file

The document is a Certification of Compliance form for the Iran Economic Sanctions Act, issued by Rochester Community Schools as part of their Request for Proposal (RFP) process. The form 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 one during the course of contract performance.

The certification includes significant legal consequences for false statements, including potential civil penalties up to $250,000 or two times the contract amount, investigation costs, attorney fees, and a three-year prohibition from bidding on future proposals. The form must be signed by an authorized company representative, affirming the company's compliance with the Iran Economic Sanctions Act and acknowledging the potential penalties for providing false information.

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CERTIFICATION OF COMPLIANCE – IRAN ECONOMIC SANCTIONS ACT

Michigan Public Act No. 517 of 2012

The undersigned, the owner, or authorized officer of the below-named company (the “Company”), pursuant to the compliance certification requirement provided in the Rochester Community Schools’ Request For Proposal (the “RFP”), hereby certifies, represents, and warrants that the Company (which includes 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 the Company is awarded a contract by Rochester Community Schools as a result of the aforementioned RFP, the Company is not and will not become an “Iran Linked Business” at any time during the course of performing any services under the contract.

The Company 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 two (2) times the amount of the contract or proposed contract for which the false certification was made, whichever is greater, the cost of the Rochester Community Schools’ 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.

Name of Company

Name and Title of Authorized Representative

Signature

CERTIFICATION OF COMPLIANCE – IRAN ECONOMIC SANCTIONS ACT
Michigan Public Act No. 517 of 2012

File details come from the government source that posted it. Updated .