Whitehall, NY · Washington County
Iran Divestment Act Certification
This certification is for bidders and contractors submitting a bid or taking responsibility for a contract, and records their Iran Divestment Act certification.
What this form is
Bidders and contractors use this certification when submitting a bid or taking responsibility for a contract awarded through the solicitation. It states that, once the prohibited entities list is posted, the bidder or contractor will not use a subcontractor on the contract who is identified on that list. The signer provides a signature, printed name, title, company name, and date.
Who needs it
A bidder responding to the solicitation or a contractor taking responsibility for an awarded contract completes the 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 signer provides a signature and date, and the form mentions no notarized or sworn attachment.
How to submit this form
- 1
Download The Certification
Download the Iran Divestment Act Certification PDF.
- 2
Complete The Certification
Provide the signature, printed name, title, company name, and date requested on the form.
- 3
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 signer provides a signature and date, and the form mentions no notarized or sworn attachment.
- Who completes this certification?
- A bidder responding to the solicitation or a contractor taking responsibility for an awarded contract completes it. The form asks for the signer’s name, title, company name, signature, and date.
- What does the certification state?
- It states that, once the prohibited entities list is posted, the bidder or contractor will not use a subcontractor on the contract who is identified on that list.
- How do I submit the Iran Divestment Act Certification?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Iran Divestment Act Certification doesn’t need a notary — but if you have another Whitehall form that does, a commissioned online notary can help.