Common use of Iran Divestment Act Compliance Clause in Contracts

Iran Divestment Act Compliance. PLEASE CHECK ONE: By submission of this Bid, I certify, 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 my knowledge and belief, that the Bidder is not on the list created pursuant to paragraph (b) of subdivision 3 of Section 165-a of the State Finance Law. I am unable to certify that my name and the Bidder does not appear on the list created pursuant to paragraph (b) of subdivision 3 of Section 165-a of the State Finance Law. I have attached a signed statement setting forth in detail why I cannot so certify. (Signature of Bidder) Print Name: Print Title: Subscribed and sworn to before me this day of , 20 Notary Public NYCDOT has established the following Disadvantaged Business Enterprise (DBE) utilization goal for this Contract in accordance with §102-12 of the NYSDOT Standard Specifications. This goal is expressed as a percentage of the Total Bid Price. It is the Contractor’s responsibility to secure utilization of the Work, in the Contract, by DBEs in satisfaction of the goal, and to document satisfactory good-faith efforts taken to fulfill the goal. DBE firms must be certified by New York State Department of Transportation Equal Opportunity Development and Compliance (“EODC”) for all items to be performed. Utilization is measured as the amount actually paid to DBEs, not the Total Bid Price for the Work. Disadvantaged Business Enterprise Utilization Goal: See Schedule A % A current listing of certified DBEs is available at xxxx://xxxxxx.xxxxxx.xxx/ or upon written request from: The Bidder shall designate and enter below the name of a Disadvantaged Business Enterprise Officer that will have the responsibility for and is capable of effectively administering and promoting an active Disadvantaged Business Enterprise Program and who must be assigned adequate authority and responsibility to do so. Telephone: (Revised 08/14)

Iran Divestment Act Compliance. PLEASE CHECK ONE: By submission of this Bid, I certify, 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 my knowledge and belief, that the Bidder is not on the list created pursuant to paragraph (b) of subdivision 3 of Section 165-a of the State Finance Law. I am unable to certify that my name and the Bidder does not appear on the list created pursuant to paragraph (b) of subdivision 3 of Section 165-a of the State Finance Law. I have attached a signed statement setting forth in detail why I cannot so certify. (Signature of Bidder) Print Name: Print Title: Subscribed and sworn to before me this day of , 20 Notary Public NYCDOT has established the following Disadvantaged Business Enterprise (DBE) utilization goal for this Contract in accordance with §102-12 of the NYSDOT Standard Specifications. This goal is expressed as a percentage of the Total Bid Price. It is the Contractor’s responsibility to secure utilization of the Work, in the Contract, by DBEs in satisfaction of the goal, and to document satisfactory good-faith efforts taken to fulfill the goal. DBE firms must be certified by New York State Department of Transportation Equal Opportunity Development and Compliance (“EODC”) for all items to be performed. Utilization is measured as the amount actually paid to DBEs, not the Total Bid Price for the Work. Disadvantaged Business Enterprise Utilization Goal: See Schedule A % A current listing of certified DBEs is available at xxxx://xxxxxx.xxxxxx.xxx/ xxxxx://xxxxxx.xxxxxxxxxxxxxx.xxx or upon written request from: The Bidder shall designate and enter below the name of a Disadvantaged Business Enterprise Officer that will have the responsibility for and is capable of effectively administering and promoting an active Disadvantaged Business Enterprise Program and who must be assigned adequate authority and responsibility to do so. Designated DBE Officer: Telephone: (Revised 08/1408/16)

Iran Divestment Act Compliance. PLEASE CHECK ONE: By submission of this Bid, I certify, 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 my knowledge and belief, that the Bidder is not on the list created pursuant to paragraph (b) of subdivision 3 of Section 165-a of the State Finance Law. I am unable to certify that my name and the Bidder does not appear on the list created pursuant to paragraph (b) of subdivision 3 of Section 165-a of the State Finance Law. I have attached a signed statement setting forth in detail why I cannot so certify. (Signature of Bidder) Print Name: Print Title: Subscribed and sworn to before me this day of , 20 Notary Public NYCDOT The Department has established the following Disadvantaged Business Enterprise (DBE) utilization goal for this Contract contract in accordance with §102-12 of the NYSDOT Standard Specifications. This goal is expressed as a percentage of the Total Bid Pricetotal contract bid price. It is the Contractor’s 's responsibility to secure utilization in the work of the Work, in the Contract, contract by DBEs in satisfaction of the goal, and to document satisfactory good-faith efforts taken to fulfill the goal. DBE firms must be certified by New York State Department of Transportation Equal Opportunity Development and Compliance (“"EODC”") for all items to be performed. Utilization is measured as the amount actually paid to DBEs, not the Total Bid Price contract bid price for the Workwork. Disadvantaged Business Enterprise Utilization Goal: See Part E - Schedule A % A current listing of certified DBEs is available at xxxx://xxxxxx.xxxxxx.xxx/ or available, upon written request from: The Bidder shall designate and enter below the name of a Disadvantaged Business Enterprise Officer that will have the responsibility for and is capable of effectively administering and promoting an active Disadvantaged Business Enterprise Program and who must be assigned adequate authority and responsibility to do so. Bidder-Designated DBE Officer: (Name, Title) Telephone: (Revised 08/1404/04/03)

Iran Divestment Act Compliance. PLEASE CHECK ONE: By submission of this Bid, I certify, 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 my knowledge and belief, that the Bidder is not on the list created pursuant to paragraph (b) of subdivision 3 of Section 165-a of the State Finance Law. I am unable to certify that my name and the Bidder does not appear on the list created pursuant to paragraph (b) of subdivision 3 of Section 165-a of the State Finance Law. I have attached a signed statement setting forth in detail why I cannot so certify. (Signature of Bidder) Print Name: Print Title: Subscribed and sworn to before me this day of , 20 Notary Public NYCDOT has established the following Disadvantaged Business Enterprise (DBE) utilization goal for this Contract in accordance with §102-12 of the NYSDOT Standard Specifications. This goal is expressed as a percentage of the Total Bid Price. It is the Contractor’s responsibility to secure utilization of the Work, in the Contract, by DBEs in satisfaction of the goal, and to document satisfactory good-faith efforts taken to fulfill the goal. DBE firms must be certified by New York State Department of Transportation Equal Opportunity Development and Compliance (“EODC”) for all items to be performed. Utilization is measured as the amount actually paid to DBEs, not the Total Bid Price for the Work. Disadvantaged Business Enterprise Utilization Goal: See Schedule A % A current listing of certified DBEs is available at xxxx://xxxxxx.xxxxxx.xxx/ or upon written request from: The Bidder shall designate and enter below the name of a Disadvantaged Business Enterprise Officer that will have the responsibility for and is capable of effectively administering and promoting an active Disadvantaged Business Enterprise Program and who must be assigned adequate authority and responsibility to do so. _______________________________________________ ________________________________________ Telephone: (Revised 08/14)