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Iran Economic Sanctions Act Certification

I am the (title)_______________ of _(bidder Company_________________, or I am

bidding in my individual capacity ("Bidder"), with authority to submit a binding bid for the

Carson City-Crystal Area School Cabling and Network Upgrade. I have personal knowledge of

the matters described in this Certification, and I am familiar with the Iran Economic Sanctions

Act, MCL 129.311, et seq. ("Act"). I am fully aware that the school district will rely on my

representations in evaluating bids.

I certify that Bidder is not an Iran-linked business, as that term is defined in the Act. I

understand that submission of a false certification may result in contract termination, ineligibility

to bid for three (3) years, and a civil penalty of $250,000 or twice the bid amount, whichever is

greater, plus related investigation and legal costs.

_________________________________________

(signature)

_________________________________________

(printed)

_________________________________________

(date)

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Crystal Image Technologies KVM-16H Specifiche Pagina 18