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This document is a "Participation in Boycott of Israel" disclosure form from the Arizona Department of Transportation (ADOT), involving Anderson Ford Kingman, a company located in Kingman, Arizona. The form requires companies participating in state solicitations, contracts, or as contractors to disclose their stance regarding business activities related to Israel, in compliance with Arizona Revised Statutes §§35-393.01 and §35-393.

The specific document (Solicitation No. BPM006654) requires the company to certify whether they do or do not participate in a boycott of Israel during the contract term. In this case, Anderson Ford Kingman has checked the box indicating they do not participate in and agree not to participate in a boycott of Israel, in accordance with A.R.S. §§35-393 et seq. The form provides an exemption for solicitations or contracts with an estimated value less than $100,000, sole proprietorships, companies with fewer than ten employees, or non-profit organizations, though no exemption is claimed in this instance.