Iran Economic Sanctions Document - LHS Auditorium.docx
DOCX document 17 KB Posted
- Attached to
- Request High School Auditorium A/V Upgrades
- Solicitation number
- RFP LKWD 210000001915 3
- Issued by
- Baraga County, Michigan
About this file
This is an Affidavit of Compliance document for the Lakewood Public Schools' Request for Proposals for Lakewood High School Auditorium A/V Upgrades. The affidavit requires bidders to certify compliance with Michigan Public Act No. 517 of 2012, the Iran Economic Sanctions Act. Contractors must affirm that they are not designated as "Iran linked businesses" and commit to maintaining this status throughout contract performance. The document serves as a mandatory certification requirement for all bidders responding to the RFP.
The affidavit includes significant penalties for false certification, including civil penalties of up to $250,000 or twice the contract value, whichever is greater, plus investigation costs and attorney fees. Any contractor submitting false certification is rendered ineligible to bid on future Lakewood Public Schools requests for proposals for three years from the determination date. The form requires the contractor's authorized representative to sign and have the certification notarized before a Michigan notary public.
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Other files
| File | Type | Posted |
|---|---|---|
| AUDITORIUM AV UPGRADE.pdf | ||
| Familial Disclosure Statement.docx | DOCX document |
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Text version
Lakewood Public Schools Lakewood High School Auditorium A/V Upgrades
AFFIDAVIT OF COMPLIANCE – IRAN ECONOMIC SANCTIONS ACT
Michigan Public Act No. 517 of 2012
The undersigned, the owner and or authorized officer of the below named contractor (the “Contractor”), pursuant to the compliance certification requirement provided in the Lakewood Public Schools’ (the “School District”) Request For Proposals For Lakewood High School Auditorium A/V Upgrades (the “RFP”), hereby certifies, represents and warrants that the Contractor (including its officers, directors and employees) is not an “Iran linked business” within the meaning of the Iran Economics Sanctions Act, Michigan Public Act No. 517 of 2012 (the “Act”), and that in the event Contractor is awarded a contract as a result of the aforementioned RFP, the Contractor will not become an “Iran linked business” at any time during the course of performing the Work or any services under the contract.
The Contractor 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 2 times the amount of the contract or proposed contract for which the false certification was made, whichever is greater, the cost of the School District’s 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 that it is determined that the person has submitted the false certification.
CONTRACTOR:
Name of Contractor Name of Representative Title Date
STATE OF MICHIGAN )
) ss
COUNTY OF ______________)
This instrument was acknowledged before me on the _____ day of _________________, _______, by ______________________________________________.
, Notary Public _________________County, Michigan My commission expires: ____/____/____ Acting in the County of: _____________
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