Whitehall, NY · Washington County
Iran Divestment Act Certification
This certification is for bidders and contractors submitting a bid or taking responsibility for a contract with the city.
At a glance
- Issued by
- City of Whitehall · Whitehall, Washington County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- whitehallny.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The certification records a bidder’s or contractor’s commitment concerning subcontractors on the prohibited entities list when submitting a bid or assuming responsibility for a contract. It also describes certifications connected to contract renewals, extensions, or assignments. The signer provides a signature, printed name, title, company name, and date.
Who needs it
A bidder or contractor submitting a bid or assuming responsibility for a contract covered by the solicitation should complete this certification.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the bidder or contractor signs and dates it.
How to submit this form
- 1
Download The Certification
Download the Iran Divestment Act Certification PDF.
- 2
Complete The Form
Enter the signature, printed name, title, company name, and date.
- 3
Gather Attachments
The document does not identify any attachments to gather.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Iran Divestment Act Certification?
- No. This document is signed without a notary; the bidder or contractor signs and dates it.
- How do I submit the Iran Divestment Act Certification?
- The document does not specify a submission method or department. Submit it to the city department named on the form; check the city website for current contact details.
- Who completes this certification?
- A bidder submitting a bid or a contractor assuming responsibility for a contract completes the certification.
- What information does the certification ask for?
- It provides spaces for a signature, printed name, title, company name, and date.