181-26 Exhibit B-Reggio Construction_compressed.pdf

CERTIFICATION OF NON-INVOLVEMENT IN PROHIBITED ACTIVITIES IN RUSSIA OR BELARUS CERTIFICATION OF NON-INVOLVEMENT IN PROHIBITED ACTIVITIES IN RUSSIA OR BELARUS Pursuant to NJ.S.A. 52:32-60.1, et seq. and NW.S.A. 40A:11-2.2 (L. 2022, c. 3) any person or entity (hereinafter “Vendor") that seeks to enter into or renew a contract with a local contracting unit subject to the Local Public Contracts Law for the provision of goods or services, or the purchase of bonds or other obligations, must complete the certification below indicating whether or not the Vendor is identified on the Office of Foreign Assets Control (OFAC) Specially Designated Nationals and Blocked Persons list, available here: httos://sanctionssearch.ofac.treas. gov. If the Department of the Treasury finds that a Vendor has made a certification in violation of the law, it shall take any action as may be appropriate and provided by law, rule or contract, including but not limited to, imposing sanctions, seeking compliance, recovering damages, deciaring the party in default and seeking debarment or suspension of the party |, the undersigned, certify that | have read the definition of ‘Vendor’ below, and have reviewed the Office of Foreign Assets Control ) Specially Designated Nationals and Blocked Persons list, and having done so certify: (Check the Appropriate Box) That the Vendor is not identified on the OFA‘ jally Desi National Block list on account of activity related to Russia and/or Belarus. OR That | ein unable to cartly as te “A” above, because the Vendors Weniied on the OFAC. Soscially That | am unable to certify as to “A” above, because the Vendor is identified on the OFAC Specially O-« Designated Nationals and Slocked Persons list. However, the Vendor is engaged in activity related to Russia and/or Belarus consistent with federal law, regulation, license or exemption. A detailed description of how the Vendor's activity related to Russia and/or Belarus is consistent with federal law Is set forth below. {Attach Additional Sheets if Necessary.) 6/92 )2 I 2905 217 ‘Signature of Vendor's Authorized Representative Print Name land Ti ‘Vendor's FEIN iis Qr)+363- ob) Vendor py erat PTE Vendor's Phone Number Vendor's. z ab A se vl Vendor's Fax Ni [oar cance pany ajegeEe Leasicimc Gi Go| Con Vendor's Adress (City/State/Zip Code) " ‘Vendor's Email Address: | Vendor means: (1) A natural

endor's Phone Number Vendor's. z ab A se vl Vendor's Fax Ni [oar cance pany ajegeEe Leasicimc Gi Go| Con Vendor's Adress (City/State/Zip Code) " ‘Vendor's Email Address: | Vendor means: (1) A natural person, corporation, company, limited partnership, limited liability partnership, limited liability company, business association, sole proprietorship, loint venture, partnership, society, trust, or any other nongovernmental entity, organization, or ‘group; (2) Any governmental entity or instrumentality of a government, including @ muttlateral development institution. as defined in Section 1701(0)(3) of the International Financial Instituzons Act, 22 U.S.C. 262r(c)\3); or (3) Any parent, successor, subunit, direct or indirect ‘subsidiary, of any entity under common ownership or control with, any entity described in paragraph (1) or (2). NJ Rev. 4.222024 P-45