Butner, NC · Granville County
Iran Divestment Act Certification
Vendors or bidders use this certification to state that they and their listed subcontractors are not on the Final Divestment List.
What this form is
This certification is identified as required by the document and is for a vendor or bidder to complete. It asks for the vendor or bidder’s name and a statement that the vendor or contractor and listed subcontractors are not on the Final Divestment List. An authorized signer provides a signature, date, printed name, and title.
Who needs it
A vendor or bidder completing this certification must provide the company name and have an authorized person sign and date it.
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 certification is signed and dated without a notary; the document lists no notarized attachment or related sworn step.
How to submit this form
- 1
Download The Certification
Download the Iran Divestment Act Certification PDF.
- 2
Complete The Vendor Information
Enter the vendor or bidder name and have an authorized person complete the certification.
- 3
Sign And Date
Provide the authorized signer’s signature, date, printed name, and title.
- 4
Submit To The City
Submit the completed certification to the city department named on the form.
Frequently asked questions
- Who completes the Iran Divestment Act Certification?
- The vendor or bidder listed on the certification provides the company name. An authorized person signs and dates the statement and provides their printed name and title.
- What does the certification ask the vendor to confirm?
- The signer certifies that the vendor or contractor and its listed subcontractors are not on the Final Divestment List.
- Do I need a notary for the Iran Divestment Act Certification?
- No. This certification is signed and dated without a notary, and the document lists no notarized attachment or related sworn step.
- How do I submit the certification?
- Submit it to the city department named on the form; check the city website for current contact details.