IRAN ECONOMIC SANCTIONS ACT form ORIGINAL (1) (1).pdf
PDF 74 KB Posted
- Attached to
- 10696 - 21-22 Personal Protective Equipment
- Solicitation number
- RFP PPS 210000002705 1
- Issued by
- Kalamazoo County, Michigan
About this file
This is a certification form required by the State of Michigan pursuant to the Iran Economic Sanctions Act, effective April 1, 2013. All bids, proposals, and qualification statements submitted to the State of Michigan must comply with Michigan Compiled Law 129.313 and the Iran Economic Sanctions Act, 2012 P.A. 517. Respondents are required to sign and submit this certification at the time of bid or proposal submittal to confirm their eligibility and compliance status.
By submitting the certification form, respondents certify under civil penalty for false certification that they are fully eligible to participate in state procurement and are not an "Iran linked business" as defined under the Act. The form requires the respondent's signature, title, company name, and date of certification. This is a mandatory compliance requirement for all state contracts and does not pertain to specific products, services, quantities, timelines, or pricing terms.
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Other files
| File | Type | Posted |
|---|---|---|
| _10696 - 21-22 PPE Quote.xlsx | XLSX spreadsheet |
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Text version
IRAN ECONOMIC SANCTIONS ACT
Effective April 1, 2013 all bids, proposals, and/or qualification statements received in the State of Michigan (MCL 129.313) must comply with the
“Iran Economic Sanctions Act”. The following certification is to be signed and included at the time of submittal.
CERTIFICATION
Pursuant to the Michigan Iran Economic Sanctions Act, 2012 P.A.
517, by submitting a bid, proposal or response, Respondent certifies, under civil penalty for false certification, that it is fully eligible to do so under law and that it is not an “Iran linked business”, as that term is defined in the Act.
Signature Title
Company Date
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