1-Annual Solid Waste Disposal Services FY26-27 - Bid Packet.pdf

SOLID WASTE DISPOSAL SERVICES FY26/27 BID PACKET

TOWN OF PRESCOTT VALLEY

Department of Public Works

Contract Documents for

Annual Solid Waste

Disposal Services FY 26/27

Town of Prescott Valley

Public Works Department

7501 E. Skoog Blvd.

Prescott Valley, AZ 86314

Bid Date: June 8, 2026 at 3:30 PM MST https://www.bing.com/images/search?view=detailV2&ccid=L/1Qgbqc&id=E6225AC4CF290407558BB31989EDC1ABF5128BAE&thid=OIP.L_1Qgbqc5_f9j_LM_vyGDgAAAA&mediaurl=http://www.clipartbest.com/cliparts/LTK/rzB/LTKrzBpoc.jpeg&exph=400&expw=381&q=solid+waste+cartoon&simid=608035064818895943&selectedIndex=76 https://www.bing.com/images/search?view=detailV2&ccid=L/1Qgbqc&id=E6225AC4CF290407558BB31989EDC1ABF5128BAE&thid=OIP.L_1Qgbqc5_f9j_LM_vyGDgAAAA&mediaurl=http://www.clipartbest.com/cliparts/LTK/rzB/LTKrzBpoc.jpeg&exph=400&expw=381&q=solid+waste+cartoon&simid=608035064818895943&selectedIndex=76 https://www.bing.com/images/search?view=detailV2&ccid=L/1Qgbqc&id=E6225AC4CF290407558BB31989EDC1ABF5128BAE&thid=OIP.L_1Qgbqc5_f9j_LM_vyGDgAAAA&mediaurl=http://www.clipartbest.com/cliparts/LTK/rzB/LTKrzBpoc.jpeg&exph=400&expw=381&q=solid+waste+cartoon&simid=608035064818895943&selectedIndex=76 https://www.bing.com/images/search?view=detailV2&ccid=L/1Qgbqc&id=E6225AC4CF290407558BB31989EDC1ABF5128BAE&thid=OIP.L_1Qgbqc5_f9j_LM_vyGDgAAAA&mediaurl=http://www.clipartbest.com/cliparts/LTK/rzB/LTKrzBpoc.jpeg&exph=400&expw=381&q=solid+waste+cartoon&simid=608035064818895943&selectedIndex=76 https://www.bing.com/images/search?view=detailV2&ccid=L/1Qgbqc&id=E6225AC4CF290407558BB31989EDC1ABF5128BAE&thid=OIP.L_1Qgbqc5_f9j_LM_vyGDgAAAA&mediaurl=http://www.clipartbest.com/cliparts/LTK/rzB/LTKrzBpoc.jpeg&exph=400&expw=381&q=solid+waste+cartoon&simid=608035064818895943&selectedIndex=76 https://www.bing.com/images/search?view=detailV2&ccid=L/1Qgbqc&id=E6225AC4CF290407558BB31989EDC1ABF5128BAE&thid=OIP.L_1Qgbqc5_f9j_LM_vyGDgAAAA&mediaurl=http://www.clipartbest.com/cliparts/LTK/rzB/LTKrzBpoc.jpeg&exph=400&expw=381&q=solid+waste+cartoon&simid=608035064818895943&selectedIndex=76

Annual Solid Waste Disposal Services – FY 26/27

SOLID WASTE SERVICES FY26/27 BID PACKET

SOLID WASTE SERVICES FY26/27 BID PACKET

TOWN OF PRESCOTT VALLEY

CALL FOR BIDS

The Town of Prescott Valley is seeking bids for “ANNUAL SOLID WASTE DISPOSAL

SERVICES FY 26/27” WITH FOUR ONE YEAR RENEWAL OPTIONS at various locations and for special clean up events during the Fiscal Year 26/27.

Contract documents, plans, specifications, and other information about this bid are listed at https://www.prescottvalley-az.gov/explore/bid_opportunities/index.php utilizing the Bonfire

Procurement Portal. Information on how to acquire contract documents, plans, and specifications may also be obtained by calling Prescott Valley Public Works Department at (928) 759-3070.

A non-mandatory pre-bid conference will be held at 2:00 p.m. Arizona MST on Monday, May 18, 2026, at the Prescott Valley Civic Center – Conference Room 330 - 7501 E. Skoog Blvd., Prescott

Valley, AZ.

Electronic bid submissions will be accepted through the Bonfire system until 3:30 PM Arizona

MST on Monday, June 8, 2026. Vendors will be required to initially register with the Town of

Prescott Valley’s Bonfire portal before submitting a proposal. Please note that submissions will only be accepted electronically, not in person. Bids will not be accepted after the deadline.

Each bid shall be accompanied by a certified check, cashier’s check or surety bond for ten percent of the amount of the bid included in the bid proposal as a guarantee.

• If utilizing a Certified/Cashier’s Check – Please upload a copy of the check alongside your proposal. Vendors will also be required to deliver the original check to the Town, either by mail or drop off, before closing of the solicitation.

• If utilizing a Surety Bond – Please upload a copy of the bond alongside your proposal.

Upon receipt of an Intent to Award notification, the selected vendor will be requested to provide the original surety bond to the Town, either by mail or drop off.

The Town of Prescott Valley reserves the right to accept or reject any and all bid proposals, or any part thereof, to withhold the award, and waive any informality deemed in the best interest of the Town.

s/Fatima Fernandez

Town Clerk

2TC PUB May 10, May 17, 2026 https://www.prescottvalley-az.gov/explore/bid_opportunities/index.php

SOLID WASTEERVICES FY26/27 BID PACKET BID PROPOSAL

Date:

Town of Prescott Valley

Prescott Valley, Arizona

Gentlemen:

In compliance with your call for bids and all conditions of the Contract Documents, the undersigned, , a corporation organized under the laws of the State of , a partnership consisting of

, or an individual trading as

, hereby propose(s) and agree(s) to furnish any and all plant, materials, labor, construction equipment services, and transportation required for performing all work for the ANNUAL SOLID WASTE DISPOSAL SERVICES FY26/27 and to construct the same in a good, workmanlike, substantial manner and to the satisfaction of the Town, through its Engineers and under the direction and supervision of its Engineers (or their properly authorized Agents), and strictly pursuant to and in conformity with the

Specifications and Plans prepared by the Engineers for the Town or their properly authorized

Agents, at the following unit price rates:

SOLID WASTEERVICES FY26/27 BID PACKET

ANNUAL SOLID WASTE DISPOSAL BID SPECIFICATIONS/CONTRACT

FY 2026-2027

Bid Schedule 1 – Event/Weekly Service

The Town of Prescott Valley is seeking a monthly rate and annual total for the following Solid

Waste Services over a 12-month period starting July 1, 2026, and ending June 30, 2027.

BID SCHEDULE 1 - Event/Weekly Service Bid

Item Description Cost per Month

Cost per

Year

4 each - 6 CY Dumpsters - emptied 2 times per week:

1 Mountain Valley Park - 8600 Nace Lane: $0.00

1 each - 6 CY Dumpsters – emptied 2 times per week:

2 Civic Center, 7501 Skoog Blvd.: $0.00

3 Public Works, 8434 Long Mesa Dr.: $0.00

4 Police Department, 7601 Skoog Blvd..: $0.00

5 Parks & Rec, 10551 E State Route 89A $0.00

6 Fairgrounds Dance Studio - 10401 E State Route 89A $0.00

1 each - 6 CY Dumpster - emptied 2 times per week:

7 Fain Park, 2200 5th St.: $0.00

8 Library and Neighborhood Services, 7401 Skoog Blvd..: $0.00 1 each - 3 CY Dumpsters – emptied 1 time per week:

9 PD Shooting Range on Valley Road: $0.00

10 Mountain Valley Park 4-Plex, 8600 Nace Lane: $0.00

11 Bob Edwards Park 7201 E. Long Look Dr: $0.00

Santa Fe Station Park - 6751 E. Santa Fe Loop

Road: $0.00

Total Cost per Month: $0.00

Total Cost per Year: $0.00

Overage Cost per

Event:

*Includes sales tax, license fees, fuel surcharge, dumpsters, etc. required to provide the service for the stated fee.

SAMPLE

Please fill out the BidTable within the Bonfire Platform

SOLID WASTEERVICES FY26/27 BID PACKET Bid Note #1: All containers must be stored inside enclosures where provided.

The operator will remove, empty, and return containers to enclosure

Bid Note #2: All Containers will be equipped with a locking mechanism capable of being secured with a Town provided lock.

Bid Schedule 2- 40 Yard Containers

BID SCHEDULE 2 - 40 Yard Containers The Town is also requesting bids for the provision of 40 cubic yard roll-off type containers at the following locations:

Location: 8434 E Long Mesa Drive - Public Works Yard

Location: 10551 E State Route 89A - P&R Building (Fairgrounds)

Pick-up would be upon notification of Public Works staff. Other containers would be on an ‘as needed’ basis at different locations throughout the Town on a short-term basis.

Bid Item Description Cost

1 Delivery Charge: (this would be a one-time charge for drop off)

Pick up Charge (for pickup of full container - delivery of replacement container to be included

3 Disposal Charge based on weight of container per ton

*Includes sales tax, license fees, fuel surcharge, dumpsters, etc. required to provide the service for the stated fee. SAMPLE

SOLID WASTEERVICES FY26/27 BID PACKET Bid Schedule 3-Special Event Cleanup Service

BID SCHEDULE 3 - Special Event Clean-up Service

Bid Item Description Units Cost

3 CY Dumpster-

Delivery/Pickup 1x

6 CY Dumpster-

Delivery/Pickup 1x

30 CY Dumpster-

Delivery/Pickup 1x

40 CY Dumpster-

Delivery/Pickup 1x

5 Curbside Pickup-Claw Truck Tons

6 Curbside Pickup-Manual Tons

7 Weekend Service Cost 1x

*All Costs to include sales tax, license fees, fuel surcharge, dumpsters, etc. required to provide the service for the stated fee.

Submittal of Bid Proposal

The bid proposal is considered to be this ENTIRE CONTRACT DOCUMENT, completed in full. The Bidder is to retain copies for his/her own records.

BIDS shall be submitted electronically as noted in the NOTICE OF INVITATION TO BID

(or as modified by addendum) and must be received before the time and date specified in the

NOTICE OF INVITATION TO BID (or as modified by addendum).

Shortly after the deadline, bids will be electronically unsealed and read aloud. Bids will not be accepted after the deadline. Bids received after the deadline will be returned unopened to the Bidder. The Town of Prescott Valley reserves the right to accept or reject any and all bids, or any part thereof, and waive any informality deemed in the best interest of the Town.

Bids will be evaluated and awarded based on the total base bid (i.e. all bid schedules), plus or minus any alternate bid schedules, (if any).

SAMPLE

SOLID WASTEERVICES FY26/27 BID PACKET

Question & Answer Process

Bidders may utilize the internal chat feature of Bonfire to ask any questions about the

Services. Please note that these chats are considered public and will be housed on the Project listing. Questions will not be accepted via phone or email. In-person questions may only be asked during the Pre-Bid Meeting. In-person questions asked during the Pre-Bid meeting will be compiled and posted to the Project as an Addendum. Any such attempt to directly ask questions of Town staff through phone, email, or in-person outside of the Pre-Bid Meeting may result in the rejection of the proposal.

Any and all questions regarding the bid must be submitted virtually through the Q&A feature of the Town of Prescott Valley’s eProcurement portal (Bonfire). All questions must be submitted no later than the date and time indicated on the Town of Prescott Valley’s eProcurement portal (Bonfire). Any violations of these guidelines by a Proposer may constitute grounds for immediate disqualification from this procurement.

Solicitation Contact Restrictions

The Town is conducting a competitive solicitation process for this bid, free from improper influence or lobbying. Contact with members of Town staff, Town Council, Town Mayor, or anyone connected to the solicitation regarding this opportunity is strictly prohibited until the conclusion of the associated evaluation period and contract award. Contact includes direct or indirect contact by the Proposer, its employees, attorneys, lobbyists, etc. in an attempt to influence the solicitation process.

The lowest responsible bidder is to be determined according to the Prescott Valley Town Code.

The Town reserves the right to reject any and/or all bids, or to waive any informality in any bid deemed to be for the Town’s best interests. The services will be awarded based on the total amount bid for the bid schedule(s).

Cooperative Use of Contract: This contract may be extended for use by other municipalities, school districts and government agencies in the State of Arizona with the approval of the contracted vendor. Any such usage by other entities must be in accordance with the statutes, codes, ordinances, charter and/or procurement rules and regulations of the respective government agency.

The successful Bidder/Vendor must have standard commercial liability insurance in the amount of

$1,000,000.00.

The Town reserves the right to modify the site list at any time and to use the unit prices for similar services at any location not specifically listed.

The Town reserves the right to accept or reject any or all bids based in the Town’s best interest.

The Town of Prescott Valley reserves the right to rescind this contract upon ninety (90) calendar day’s written notice, addressed to the Agent of the successful Bidder/Vendor as listed herein.

The term of this Contract shall be one year beginning July 1, 2026, following approval by the Town Manager.

SOLID WASTEERVICES FY26/27 BID PACKET

The Town of Prescott Valley may extend this Contract up to four (4) additional, one (1) year periods, upon the recommendation of the Contract Administrator and Public Works Director and with the concurrence of the Contractor.

The contractor shall be notified in writing by the Public Works Department of the Town of

Prescott Valley's intention to extend the contract period at least thirty (30) calendar days prior to the expiration of the original contract period. Price adjustments will only be reviewed during contract renewal.

The acknowledged signature below indicates the successful Bidder/Vendor’s agreement to abide by these specifications, including the Bidder/Vendor’s bid proposal, and acknowledges that the

Call for Bids, these Bid Specifications, the Bid proposal, and the Town’s Notice of Award together constitute a contract between the successful Bidder/Vendor and the Town of Prescott Valley.

The undersigned hereby declares that he/she has visited the sites and has carefully examined the Contract Documents relating to the work covered by the above bid or bids.

Dated this day of , 2026

Name of Bidder:

Bidder’s Address:

Bidder’s License

Type and Number:

Bidder’s Signature:

(Officer or Authorized Agent)

Print Name & Title:

Phone/Email:

OWNER: CONTRACTOR:

Town of Prescott Valley, Arizona

Gilbert Davidson, Town Manager Signature

By:

Print Name and Title

ATTEST: Town of Prescott Valley

Fatima Fernandez, Town Clerk

TOWN CLERK

(CORPORATE SEAL)

APPROVED AS TO FORM:

Ivan Legler, Town Attorney

Affidavit of Non-Collusion Page 10 of 17 Annual Solid Waste Disposal Services – FY 26/27

AFFIDAVIT OF NON-COLLUSION

STATE OF )

County of )

, being first duly sworn, deposes and says: THAT he/she is of (Title - Officer/Agent/Owner) (INSERT NAME OF COMPANY) who submits herewith to the TOWN OF PRESCOTT VALLEY, a bid proposal called Annual Solid Waste Disposal Services FY26/27.

THAT all statements of fact in such bid proposal are true.

THAT said proposal was not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation;

THAT said bid proposal is genuine and not collusive or a sham;

THAT said bidder has not, directly or indirectly by agreement, communication or conference with anyone, attempted to induce action prejudicial to the interest of the TOWN OF PRESCOTT VALLEY or of any bidder or anyone else interested in the proposed Contract; and further, THAT prior to the public opening and reading of proposal, said bidder:

1. did not directly or indirectly induce or solicit anyone else to submit a false or sham bid proposal;

2. did not directly or indirectly collude, conspire, connive or agree with anyone else that said bidder or anyone else would submit a false or sham proposal, or that anyone should refrain from bidding or withdraw his/her proposal;

3. did not, in any manner, directly or indirectly seek, by agreement, communication or conference with anyone, to raise or fix the proposal price of said bidder or of anyone else, or to raise or fix any overhead, profit, or cost element of his proposal price or of that of anyone else;

4. did not directly or indirectly submit his proposed price or any breakdown thereof, or the contents thereof, or divulge information or data relative thereto to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, or to any individual or group of individuals, except the TOWN OF PRESCOTT VALLEY, or to any person or persons who have a partnership or other financial interests with said bidder in his/her business.

Affidavit of Non-Collusion Page 11 of 17 Annual Solid Waste Disposal Services – FY 26/27

BY:_____________________________________

Signature of Officer/Agent of Company

STATE OF ARIZONA )

County of )

The foregoing instrument was subscribed and sworn to before me this ________________ day of

___________________________________, 2026.

NOTARY PUBLIC

My Commission Expires: ______________________

Surety Bond Page 12 of 17 Annual Solid Waste Disposal Services – FY 26/27

SURETY BOND

KNOW ALL MEN BY THESE PRESENTS:

That we, __________________________________, as Principal (hereinafter called the Principal), and the _______________________, a corporation duly organized under the laws of the State of _____________________ and duly licensed and possessing a certificate of authority to transact surety business in the State of Arizona, as Surety (hereinafter called the Surety), are held and firmly bound unto the TOWN OF PRESCOTT VALLEY as Obligee, in the sum of ten percent (10%) of the total amount of the bid of Principal, submitted by him/her to the TOWN OF PRESCOTT VALLEY for the work described below, for the payment of which sum, well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, and administrators, successors, and assigns, jointly and severally, firmly by these presents and in conformance with A.R.S.

WHEREAS, the said Principal is herewith submitting its proposal for Annual Solid Waste Disposal Services – FY26/27.

NOW, THEREFORE, if the TOWN OF PRESCOTT VALLEY shall accept the bid proposal of the Principal, and the Principal shall enter into a contract with the TOWN OF PRESCOTT VALLEY in accordance with the terms of the Bid Proposal, and give the Bonds and Certificates of Insurance as specified in the Standard Specifications with good and sufficient Surety for the faithful performance of the contract and for the prompt payment of labor and materials furnished in the prosecution of the contract; or in the event of the failure of the Principal to enter into the contract and give the Bonds and Certificates of Insurance, if the Principal pays to the TOWN OF PRESCOTT VALLEY the difference not to exceed the penalty of the bond between the amount specified in the Bid Proposal and such larger amount for which the obligee may in good faith contract with another party to perform the work covered by the Bid Proposal, then this obligation is void. Otherwise, it remains in full force and effect, provided, however, that this bond is executed pursuant to the provisions of Section 34-201, Arizona Revised Statutes, and all liabilities on this bond shall be determined in accordance with the provisions of the section to the extent as if it were copied at length herein.

Signed and sealed this _______________ day of _________________, 2026

Principal: _________________________

Title: _________________________ Witness: _________________________

Surety: _________________________

Title: _________________________ Witness: _________________________

Statement of Independence Page 13 of 17 Annual Solid Waste Disposal Services FY26/27

Statement of Independence & Conflict of Interest

Vendor Disclosure Form

In connection with this proposal, the undersigned certifies the following:

1. Independence from the Town

The bidder, including its employees, officers, agents, and subcontractors, has no current or past financial interest, employment, or other relationship with the Town of Prescott Valley, or with any of its officials, agents, or employees, that would create—or appear to create—a conflict of interest or confer an unfair competitive advantage in this procurement process.

2. Disclosure of Professional Relationships

The bidder shall provide a list of any current or prior professional relationships, engagements, or affiliations involving the Town of Prescott Valley or its staff that could reasonably be perceived as a conflict of interest. If no such relationships exist, the bidder shall affirmatively state that none are known.

3. Compliance with Ethical Standards

The bidder agrees to comply with all applicable federal, state, and local laws, as well as the Town of

Prescott Valley’s procurement policies and ethical standards.

I have no conflict of interest to report

I have the following conflict(s) to report (please list relationships on Page 2)

The undersigned acknowledges that failure to disclose relevant relationships may result in disqualification from the solicitation process or termination of any awarded contract.

Signature of Official: ___________________________________________

Name (typed): ________________________________________________

Title: ________________________________________________________

Company: ____________________________________________________

Date: __________________________________________________________

Statement of Independence Page 14 of 17 Annual Solid Waste Disposal Services FY26/27

Please describe below any relationships, transactions, positions you hold (volunteer or otherwise), or circumstances that you believe could contribute to a conflict of interest. Use additional pages if necessary.

If “I have no conflict of interest to report” box is checked on previous page, please leave blank

Participation in Boycott of Israel Page 15 of 17 Annual Solid Waste Disposal Services FY26/27

Attachment I - Participation in Boycott of Israel

Solicitation No. PW260510

Annual Solid Waste Disposal Services FY26/27

7501 E Skoog Blvd

Boycott of Israel Disclosure

Please note that if any of the following apply to this Solicitation, Contract, or Contractor, then the Offeror shall select the “Exempt Solicitation, Contract, or Contractor” option below:

● The Solicitation or Contract has an estimated value of less than $100,000;

● Contractor is a sole proprietorship;

● Contractor has fewer than ten (10) employees; and/or

● Contractor is a non-profit organization.

Pursuant to A.R.S. §35-393.01, public entities are prohibited from entering into contracts “unless the contract includes a written certification that the company is not currently engaged in, and agrees for the duration of the contract to not engage in, a boycott of goods or services from Israel.”

Under A.R.S. § 35-393:

1. "Boycott" means engaging in a refusal to deal, terminating business activities or performing other actions that are intended to limit commercial relations with entities doing business in Israel or in territories controlled by Israel, if those actions are taken either:

(a) Based in part on the fact that the entity does business in Israel or in territories controlled by Israel.

(b) In a manner that discriminates on the basis of nationality, national origin or religion and that is not based on a valid business reason.

2. "Company" means an organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, limited liability company or other entity or business association, including a wholly owned subsidiary, majority-owned subsidiary, parent company or affiliate, that engages in for-profit activity and that has ten or more full-time employees.

3. "Public entity" means this State, a political subdivision of this State or an agency, board, commission or department of this State or a political subdivision of this State.

The certification below does not include boycotts prohibited by 50 United States Code Section 4842 or a regulation issued pursuant to that section. See A.R.S. § 35-393.03.

In compliance with A.R.S. §§35-393 et seq., contractor must select one of the following:

☐ The Company executing this Contract does not participate in, and agrees not to participate in during the term of the contract, a boycott of Israel in accordance with A.R.S. § 35-393 et seq. I understand that my entire response will become a public record in accordance with A.A.C. R2-7-C317.

☐ The Company executing this Contract does participate in a boycott of Israel as described in A.R.S. § 35-393 et seq.

☐ Exempt Solicitation, Contract, or Contractor.

Indicate which of the following statements applies to this Contract:

● Solicitation or Contract has an estimated value of less than $100,000;

● Contractor is a sole proprietorship;

● Contractor has fewer than ten (10) employees; and/or

● Contractor is a non-profit organization

Participation in Boycott of Israel Page 16 of 17 Annual Solid Waste Disposal Services FY26/27

Attachment I - Participation in Boycott of Israel

Company Name Signature of Person Authorized to Sign

Address Printed Name

City State Zip Title

Forced Labor of Ethnic Uyghurs Ban Page 17 of 17 Annual Solid Waste Disposal Services – FY 26/27

Attachment II – Forced Labor of Ethnic Uyghurs Ban

Prescott Valley, AZ 86314

Forced Labor of Ethnic Uyghurs Ban

Please note that if any of the following apply to the Contractor, then the Offeror shall select the

“Exempt Contractor” option below:

● Contractor is a sole proprietorship;

● Contractor has fewer than ten (10) employees; OR

● Contractor is a non-profit organization.

Pursuant to A.R.S. § 35-394, the State of Arizona prohibits a public entity from entering into or renewing a contract with a company unless the contract includes written certification that the company does not use the forced labor, or any goods or services produced by the forced labor, of ethnic Uyghurs in the People's Republic of China.

Under A.R.S. § 35-394:

1. "Company" means an organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, limited liability company or other entity or business association, including a wholly owned subsidiary, majority-owned subsidiary, parent company or affiliate, that engages in for-profit activity and that has ten or more full-time employees.

2. "Public entity" means this State, a political subdivision of this State or an agency, board, commission or department of this State or a political subdivision of this State.

In compliance with A.R.S. §§ 35-394 et seq., all offerors must select one of the following:

☐ The Company executing this Contract does not use, and agrees not to use during the term of the contract, any of the following:

● Forced labor of ethnic Uyghurs in the People’s Republic of China;

● Any goods or services produced by the forced labor of ethnic Uyghurs in the People’s Republic of China; or

● Any Contractors, Subcontractors, or suppliers that use the forced labor or any goods or services produced by the forced labor of ethnic Uyghurs in the People’s Republic of China.

☐ The Company submitting this Offer does participate in use of Forced Uyghurs Labor as described in

A.R.S. § 35-394.

☐ Exempt Contractor

Indicate which of the following statements applies to the Contractor (may be more than one):

☐ Contractor is a sole proprietorship;

☐ Contractor has fewer than ten (10) employees; and/or

☐ Contractor is a non-profit organization.

Company Name Signature of Person Authorized to Sign

Address Printed Name

City State Zip Title