Iranian Investment Disclosure.pdf
PDF 53 KB Posted
- Attached to
- Purchase & Installation of Modular Guard Stations at the Jefferson County Public Safety Building
- Solicitation number
- 147703
- Issued by
- Herkimer County, New York
About this file
This is an Iranian Investment Disclosure certification form required pursuant to Section 103-g of the New York State General Municipal Law for a procurement opportunity in New York State related to the purchase and installation of modular guard stations at the Jefferson County Public Safety Building. By submitting a bid, each bidder certifies under penalty of perjury that it is not on the list created pursuant to Section 165-a of the New York State Finance Law regarding prohibited Iranian investments. Any bid submitted without compliance with this certification requirement shall not be considered for award.
Bidders unable to provide the required certification must submit a signed statement detailing the reasons for non-compliance. The Purchasing Unit may award a bid on a case-by-case basis under two specific exemption circumstances: if investment activities in Iran occurred before April 12, 2012, have not been expanded or renewed since that date, and the bidder has adopted and is implementing a formal plan to cease such investments; or if the political subdivision determines in writing that the goods or services are necessary for its functions and that the exemption is required to obtain them. The form requires bidder signature, title, date, and company name for certification purposes.
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Other files
| File | Type | Posted |
|---|---|---|
| Non-Bidders Response.pdf | ||
| 26-94 RFP Document.pdf | ||
| Bid Proposal and Non-Collusive Bidding Certification.pdf |
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Text version
Attachment Certification Pursuant to Section 103-g of the New York State General Municipal Law
A. By submission of this bid, each Bidder and each person signing on behalf of any Bidder certifies, and in the case of a joint bid, each party thereto certifies as to its own organization, under penalty of perjury, that to the best of its knowledge and belief that each Bidder is not on the list created pursuant to paragraph (b) of subdivision 3 of Section 165-a of the New York State Finance Law.
B. A Bid shall not be considered for award, nor shall any award be made where the condition set forth in
Paragraph A above has not been complied with; provided, however, that in any case the Bidder cannot make the foregoing certification set forth in Paragraph A above, the Bidder shall so state and shall furnish with the bid a signed statement which sets forth in detail the reasons therefore. Where Paragraph A above cannot be complied with, the Purchasing Unit to the political subdivision, public department, agency or official thereof to whom the bid is made, or his designee, may award a bid, on a case by case basis under the following circumstances:
1. The investment activities in Iran were made before April 12, 2012, the investment activities in Iran have not been expanded or renewed after April 12, 2012, and the Bidder has adopted, publicized and is implementing a formal plan to cease the investment activities in Iran and to refrain from engaging in any new investments in Iran; or
2. The political subdivision makes a determination that the goods or services are necessary for the political subdivision to perform its functions and that, absent such an exemption, the political subdivision would be unable to obtain the goods and services for which the contract is offered. Such a determination shall be made in writing and shall be a public document.
Signature
Title
Date Company Name
| Title: |
| Company Name: |
| Date: |
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