RFP_25RFP13437_Exhibit C_Certification re Prohibited Entity.pdf
PDF 63 KB Posted
- Attached to
- CACFP Financial Management System State and local contract opportunity
- Solicitation number
- 25RFP13437
- Issued by
- Pennington County, South Dakota
About this file
This document is a Contractor Certification form required by South Dakota Executive Order 2023-02 for all vendors, suppliers, construction contractors, and subcontractors seeking to enter into contracts with Executive Branch Agencies of the State of South Dakota. The certification applies to any agreement involving the sale or lease of supplies, goods, services, professional services, construction, or public improvements provided to the State in return for compensation. The form does not apply to sole proprietorships or individual natural U.S. citizens.
The certification requires contractors to affirm they are not "Prohibited Entities," defined as organizations ultimately owned or controlled by foreign nationals, foreign parent entities, or foreign governments from China, Iran, North Korea, Russia, Cuba, or Venezuela, including all subsidiaries, parent companies, and affiliates regardless of principal place of business. Contractors must provide immediate written notice to all Executive Branch Agencies if they become a Prohibited Entity after certification, understanding that agencies may terminate contracts upon such disclosure. The form also acknowledges that Executive Branch Agencies retain the right to terminate any contract with a contractor submitting false certification. The document requires completion with the contractor's name, authorized representative signature, printed name, and title, along with a date of execution.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| RFP_25RFP13437_Exhibit B - Substitute_W-9_SD.pdf | ||
| RFP_25RFP13437 Exhibit F.docx | DOCX document | |
| RFP Document.pdf | ||
| RFP_25RFP13437 Exhibit G Security and Vendor Questions v3.2 Production.docx | DOCX document | |
| RFP_25RFP13437 Exhibit D_BIT Contract Terms.docx | DOCX document | |
| Response to Offeror Questions document.docx | DOCX document | |
| RFP_25RFP13437 Exhibit E.pdf | ||
| RFP_25RFP13437_Exhibit C_Certification re Prohibited Entity.pdf | ||
| RFP_25RFP13437 Exhibit G Security and Vendor Questions v3.2 Production.docx | DOCX document | |
| RFP_25RFP13437_Exhibit B - Substitute_W-9_SD.pdf | ||
| RFP_25RFP13437 Exhibit F.docx | DOCX document | |
| RFP Document.pdf | ||
| RFP_25RFP13437 Exhibit E.pdf | ||
| RFP_25RFP13437 Exhibit D_BIT Contract Terms.docx | DOCX document |
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Text version
CONTRACTOR CERTIFICATION REQUIRED BY
SOUTH DAKOTA EXECUTIVE ORDER 2023-02
Section 1 Definitions. The words used in this Certification shall mean:
1.1. “Prohibited Entity,” an organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, limited liability company, or other entity or business association, including all wholly-owned subsidiaries, majority-owned subsidiaries, parent companies, or affiliates, of those entities or business associations, regardless of its principal place of business, that is ultimately owned or controlled, directly or indirectly, by a foreign national, a foreign parent entity, or foreign government from China, Iran, North Korea, Russia, Cuba, or Venezuela;
1.2. “Executive Branch Agencies,” each state agency, authority, bureau, board, commission, department, or institution of the State of South Dakota that is controlled by the Governor;
1.3. “Contract,” any type of agreement by or on behalf of the State to sell or lease supplies or goods, or to provide services, professional services, construction, or public improvements, to the
State in return for a fee, or any other form of compensation to be paid or provided by the State;
and
1.4. “Contractor,” a vendor, supplier, construction contractor, or subcontractor that has submitted a bid or offer for or has been selected to engage in providing goods or services to the
State but does not mean a sole proprietorship or individual natural U.S. citizen.
Section 2. Certification. The undersigned hereby certifies to the State of South Dakota that:
2.1. The undersigned is not a Prohibited Entity.
2.2 If at any time after making this certification the undersigned becomes a Prohibited Entity, the undersigned will provide immediate written notice to all Executive Branch Agencies with whom the undersigned has a Contract. The undersigned understands and agrees that if the undersigned becomes a Prohibited Entity, Executive Branch Agencies may terminate any
Contract with the undersigned.
2.3 The undersigned acknowledges and agrees that Executive Branch Agencies have the right to terminate a Contract with any Contractor that submits a false certification.
Dated _______________________
Contractor:
By: _________________________________
Printed Name: ________________________
Title: _______________________________
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