Town CrierWest Orange, New Jersey
← Back to search

Supporting Documentation · Oct 25, 2022

272-22 Exhibit A-Thorguard.pdf

Preserved file SHA-256a87f270073778de81ada82b9429e354a7677a78864eb795d977cdf6184bc6a19

Indexed text · page 19

Show all pages
Page 19

DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN THOR GUARD, INC Proposer: Pursuant to Public Law 2012, c. 25, any person or entity that submits a bid or proposal or otherwise proposes to enter into or renew a contract must complete the certification below to attest, under penalty of perjury, that the person or entity, or one of the person or entity's parents, subsidiaries, or affiliates, is not identified on a list created and maintained by the New Jersey Department of the Treasury as a person or entity engaging in investment activities in Iran. If the Director finds a person or entity to be in violation of the principles which are the subject of this law, s/he shall take action as may be appropriate and provided by law, rule or contract, including but not limited to, imposing sanctions, seeking compliance, recovering damages, declaring, declaring the party in default and seeking debarment or suspension of the person or entity. | certify, pursuant to Public Law 2012, c. 25, that the person or entity listed above for which lam authorized to submit a proposal: X_ Is not providing goods or services of $20,000,000 or more in the energy sector of Iran, including a person or entity that provides oll or liquefied natural gas tankers, or products used to construct or maintain pipelines used to transport oi! or liquefied natural gas, for the energy sector of Iran, and Is not a financial institution that extends $20,000,000 or more in credit to another person or entity, for 45 days, or more, if that person or entity will use the credit to provide goods or services in the energy sector in Iran. Inthe event that a person or entity is unable to make the above certification because it or one of its parents, subsidiaries, or affiliates has engaged in the above referenced activities, a detailed, accurate and precise description of the activities must be provided in part 2 below to the New Jersey Turnpike Authority under penalty of perjury. Failure to provide such will result in the proposal being rendered as non-responsive and appropriate penalties, fines and/or sanctions will be assessed as provided by law. Part 2: PLEASE PROVIDE FURTHER INFORMATION RELATED TO INVESTMENT ACTIVITIES IN IRAN You must provide a detailed, accurate and precise description of the activities of the proposer, or one of its parents, subsidiaries or affiliates, engaging in the investment

Page 19

TMENT ACTIVITIES IN IRAN You must provide a detailed, accurate and precise description of the activities of the proposer, or one of its parents, subsidiaries or affiliates, engaging in the investment activities in Iran outlined above by completing the boxes below. Name: Rel tionshin-te-P: elationship-te-Preposer Description of Activities: Duration of Engagement: Anticipated Cessation Date: Proposer Contact Name: Contact Phone Number: 16

File revisions (1)