Iran-Sanctions Form.pdf
PDF 88 KB Posted
- Solicitation number
- RFP-BRPS-260000000206-2
- Issued by
- Berrien County, Blissfield Village, Michigan
About this file
This document is a certificate of compliance form for the CM Elementary Renovations and Additions project in Michigan, required under Michigan Act No. 517, Public Acts of 2012. The certificate serves as a binding compliance statement that bidders and contractors must complete and submit as part of their bid or contract proposal. The form requires the bidding company to certify that it is not an "Iran linked business" as defined under Michigan law and commits that the company will not become an Iran linked business during performance of the contract work. The certificate must be signed by an authorized company representative and notarized before a Michigan notary public, with the notary providing their signature, printed name, county of commission, and commission expiration date.
The document contains a penalty provision warning that any knowing and willful false, fictitious, or fraudulent representation may result in civil penalties of $250,000 or two times the amount of the contract value, whichever is greater. This compliance certificate is mandatory for all bidders on this project and represents a condition of bid eligibility and contract award. No exceptions or waivers to this requirement are indicated in the document.
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Other files
| File | Type | Posted |
|---|---|---|
| Bid Ad.pdf | ||
| Familial Disclosure Form.pdf | ||
| Final Bid Set.pdf | ||
| Final Spec Set.pdf |
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Text version
CM Elementary Renovations and Additions
PROJECT MANUAL – REV DATE: 1/04 00420-1
SECTION 00420 – Iran Economic Sanctions
SECTION 00420
IRAN ECONOMIC SANCTIONS ACT
CERTIFICATE OF COMPLIANCE WITH MICHIGAN ACT NO. 517,
PUBLIC ACTS OF 2012
We, __________________________________________________________(Company)
Certify that we are not an “Iran linked business” within the meaning of Michigan Act No. 517, Public Acts of 2012, and that in the event it is awarded Contract as a result of this Invitation to Bid, we will not become an “Iran linked business” during the course of performing our Work under the Contract.
NOTE: Whoever knowingly and willfully makes any false, fictitious or fraudulent representation may be liable for civil penalties of $250,000 or two times the amount of the contract or proposed contract, whichever is more, as more fully set forth in Section 5 of Act No. 517, Public Acts of 2012.
(Name of Company)
By: _____________________________
Date: _______________________ Title: _____________________________
Acknowledged by before me on the day of , Signature______________________________________________
Printed name___________________________________________
Notary public, State of Michigan, County of My commission expires___________________________________
*If performing a notarial act in a county other than the county of commission include: Acting in the County of_________________
END OF SECTION 00420
File details come from the government source that posted it. Updated .