98-24 Exhibits to the Agreement for the Operation of the Recycling Center - Part I.pdf

Article 3.19 DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN Proposer: PART 1: CERTIFICATION BIDDER MUST COMPLETE PART 1 BY CHECKING EITHER BOX Pursuant to N.J.S.A. 52:32-55 and any amendments thereto, 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 Department of the Treasury as a person or entity engaging in investment activities in Iran. The chapter 25 list is found on the Division’s website at http://www.state.nj.us/treasury/purchase/pdf/chapter25List.pdf. Bidder must review this list prior to completing the below certification. If the Director finds a person or entity to be in violation of this law, s/he shall take action as may be appropriate by law, rule or contract, including but not limited to, imposing sanctions, seeking compliance, recovering damages, declaring the party in default and seeking debarment or suspension of the party. PLEASE CHECK THE APPROPRIATE BOX: I certify, pursuant to N.J.S.A. 52:32-55 and any amendments thereto, that neither [] the bidder listed below nor any of the bidders parent, _ subsidiaries, or affiliates is listed on the N.J. Department of the Treasury list of entities determined to be engaged in prohibited activities in Iran Pursuant to P.L.2012, ¢.25 (“Chapter List”) I further certify that I am the person listed below, or I am an officer or representative of the entity listed below and am an authorized to make this certification on its behalf. I will skip part 2 and sign and complete the Certification below. OR L] Tam unable to certify the above because the bidder and/or more of its parents, subsidiaries, or affiliates is listed on the Department’s Chapter 25 list. I will provide a detailed, accurate and precise description of the activities in part 2 below and sign and complete the certification below. 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 bidding person/entity, or one of its parents, subsidiaries or affiliates, engaging in the investment activities in Iran outlined above by completing the box

recise description of the activities of the bidding person/entity, or one of its parents, subsidiaries or affiliates, engaging in the investment activities in Iran outlined above by completing the box below. 60