Orange County NC Website
Browse       Search
30 <br /> SUBrodIT AU H PROPOSAL <br /> ATTACHMENT A- IRAN DIVESTMENT ACT CERTIFICATION <br /> Required By N.C.G.S. <br /> 1430-6:4-5(a') <br /> Name of Contractor, Vendor or Bidder: <br /> As of the date listed below,the contractor,vendor or bidder listed above,and all subcontractors <br /> utilised by the contractor,vendor or bidder listed above,is not listed on the Final Divestment List <br /> created by the State Treasurer pursuant to N.C.G.S. 143-6A-4. <br /> The undersigned hereby certifies that he or she is authorized by the contractor,vendor or bidder <br /> listed above to make the foregoing statement. <br /> Signature Date <br /> Printed Name Title <br /> ,Yutes to persons sign ir g this jonn: <br /> N.C.G.S. 143C-6A-5(a)requires this certification for bids or contracts with the State of North <br /> Carolina,a North Carolina local government, or any other political subdivision of the State of North <br /> Carolina.The certification is required at the following times: <br /> ❑ When a bid is submitted <br /> ❑ When a contract is entered into fif the certification was not already made when the vendor <br /> made its bid) <br /> ❑ When a contract is renewed or assigned <br /> N.C.G.S. 143C-6A-5(b)requires that contractors with the State„a North Carolina local government, <br /> or any other political subdivision of the State of North Carolina must not utilize any subcontractor <br /> found on the State Treasurer's Final Divestment List. The State Treasurer's Final Divestment List <br /> can be found on the State Treasurer's website at the address www.nctreasurer.comlIran and will be <br /> updated every 180 days. <br /> *"**Contractor,Vendor or Bidder Return This Form With All Other Required Documentation'****" <br /> 18 <br />