Disclosure of Investment Activities in Iran Form - State of New Jersey

This document, the "Disclosure of Investment Activities in Iran Form," is a mandatory component for any person or entity submitting a bid, proposal, or seeking to enter into or renew a contract with the State of New Jersey, Department of the Treasury, Division of Purchase and Property. Pursuant to N.J.S.A. 52:32-57, et seq. (P.L. 2012, c.25 and P.L. 2021, c.4), this form ensures compliance by requiring vendors to certify that neither they, nor any of their parents, subsidiaries, or affiliates, are identified on the New Jersey Department of the Treasury’s Chapter 25 List of entities engaged in prohibited investment activities in Iran. This certification is crucial for all prospective and existing contractors engaging with the State of New Jersey. Prospective contractors are required to carefully review the Chapter 25 List, which is publicly accessible on the Division’s website. Bidders must then either affirm that they are not on this list or provide a comprehensive disclosure if they or any related entity is identified. The disclosure must detail the entity involved in investment activities, its relationship to the vendor/bidder, a precise description of the activities, the duration of engagement, and the anticipated cessation date. Additional sheets may be attached if necessary to provide a complete and accurate account of any non-compliant activities. The certification requires the authorized signatory to attest to the truthfulness and completeness of the information provided, acknowledging the State of New Jersey's reliance on this data. Furthermore, vendors are under a continuing obligation to notify the State in writing of any changes to the information presented from the date of certification through the completion of any resulting contract(s). Making false statements or misrepresentations in this certification is a criminal offense, potentially leading to criminal prosecution, a material breach of contract, and the State declaring any contract(s) void and unenforceable. This form must be submitted as part of the overall bid or proposal package.