1-Attachment 3D.pdf

PDF 95 KB Posted

Attached to
Master Agreement AZ|CTR076697
Contract number
CTR076697
Issued by
Arizona

About this file

This document is a Request for Proposal (RFP) issued by the Arizona Department of Child Safety, Office of Procurement & Contracts, for Solicitation No. BPM006842 with the description "Fostering Sustainable Connections". The document specifically contains Attachment 3-D, which is a Boycott of Israel Disclosure form that vendors must complete as part of their proposal submission, in compliance with Arizona Revised Statute §35-393.01.

The attachment requires offerors to disclose whether their company participates in a boycott of Israel, with the company Human Resource Training, Inc. dba Clarvida selecting the option that they do not participate in, and will not participate in, a boycott of Israel during the contract term. By completing this form, the company agrees to indemnify and hold the state harmless from any claims related to their representations. The form is part of a broader solicitation process for the Arizona Department of Child Safety, located in Phoenix, with the proposal documents available online at APP.AZ.gov.

View the file

Other files

File Type Posted
1-2022 Audited Financials.pdf PDF
1-attachment 4.pdf PDF
BPM006842 Evaluation Commitee Consensus Statement.pdf PDF
BPM006842 RFP Contract Award and Executive Summary Signed.pdf PDF
Exhibit 5-FSC Data Spreadsheet.xlsx XLSX spreadsheet
Exhibit 7-Hotline Call vs. Significant Incident Report.pdf PDF
FSC Evaluation Committee Referral and Recommendation Form.doc DOC document
FSC Significant Procurement Role.msg MSG file
Offer_and_Acceptance_HRT.pdf PDF
1-Attachment 2A.pdf PDF
1-Attachment 3A.pdf PDF
1-Attachment 3B.pdf PDF
1-Attachment1.pdf PDF
1-BAFO 1A.pdf PDF
Exhibit 3- Support Network Contact Sheet CSO-4500.pdf PDF
1-BAFO 2B.pdf PDF
BPM006842_Contract_Summary_Document.pdf PDF
BPM006842_FSC Solicitation Requirements_Part 2.docx DOCX document
BPM006842_FSC_Solicitation_Requirments_Part_1.pdf PDF
Exhibit 4- CSO-3408 Youth Advocacy Specialist Referral.pdf PDF
1-4.3.1 Audited financials.pdf PDF
1-4.3.2 CFO Signed certification.docx DOCX document
1-Attachment 2B.pdf PDF
1-Attachment 2C.pdf PDF
1-Attachment 2D_Redacted.pdf PDF
1-Attachment 2E.pdf PDF
1-Attachment 3C.pdf PDF
1-Attachment 3E.pdf PDF
1-Attachment 5A.pdf PDF
1-Attachment 5B.pdf PDF
1-BAFO 3A.pdf PDF
BPM006842_FSC Solicitation Requirments_Part 1.pdf PDF
Exhibit 1- DCS 06-01 Limited English Proficiency.pdf PDF
Exhibit 2 - FSC - Program Manual.pdf PDF
Exhibit 6- CSO-1151A Significant Incident Report.pdf PDF
FSC Significant Procurement Role.pdf PDF
Show all 36

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Request for Proposal Solicitation No. BPM006842

Description: Fostering Sustainable Connections

State of Arizona

Department of Child Safety

Office of Procurement & Contracts

3003 N. Central Avenue, 20th Floor

Phoenix, AZ 85012

Solicitation Instructions

Part 2

SECTION 2-D: Offer Forms, Attachment 3-D

Page 54 of 64 2 A v a i l a b l e o n l i n e a t : A P P . A Z . g o v

Attachment 3-D

Boycott of Israel Disclosure

All materials submitted as part of a response to a solicitation are subject to Arizona public records law and will be disclosed if there is an appropriate public records request at the time of or after the award of the contract. Recently legislation has been enacted to prohibit the state from contracting with companies currently engaged in a boycott of Israel. To ensure compliance with A.R.S. §35-

393.01. This form must be completed and returned with the response to the solicitation and any supporting information to assist the State in making its determination of compliance

As defined by A.R.S. §35-393.01:

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

(a) In compliance with or adherence to calls for a boycott of Israel other than those boycotts to which 50 United States Code section 4607(c) applies.

(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 a sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, limited liability company or other entity or business association, and includes a wholly owned subsidiary, majority-owned subsidiary, parent company or affiliate.

3. "Direct holdings" means all publicly traded securities of a company that are held directly by the state treasurer or a retirement system in an actively managed account or fund in which the retirement system owns all shares or interests.

4. "Indirect holdings" means all securities of a company that are held in an account or fund, including a mutual fund, that is managed by one or more persons who are not employed by the state treasurer or a retirement system, if the state treasurer or retirement system owns shares or interests either:

(a) together with other investors that are not subject to this section.

(b) that are held in an index fund.

5. "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.

6. "Public fund" means the state treasurer or a retirement system.

7. "Restricted companies" means companies that boycott Israel.

8. "Retirement system" means a retirement plan or system that is established by or pursuant to title 38.

All offerors must select one of the following:

X My company 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. §35-393.01. I understand that my entire response will become public record in accordance with A.A.C. R2-7-C317.

My company does participate in a boycott of Israel as defined by A.R.S. §35-393.01.

By submitting this response, proposer agrees to indemnify and hold the State, its agents and employees, harmless from any claims or causes of action relating to the State’s action based upon reliance on the above representations, including the payment of all costs and attorney fees incurred by the State in defending such an action.

Human Resource Training, Inc. dba Clarvida 2

Company Name Signature of Person Authorized to Sign

2131 East Broadway Road Suite 14 Caryn Hahne

Address Printed Name https://procure.az.gov/bso/

Request for Proposal Solicitation No. BPM006842

Description: Fostering Sustainable Connections

State of Arizona

Department of Child Safety

Office of Procurement & Contracts

3003 N. Central Avenue, 20th Floor

Phoenix, AZ 85012

Solicitation Instructions

Part 2

SECTION 2-D: Offer Forms, Attachment 3-D

Page 55 of 64 2 A v a i l a b l e o n l i n e a t : A P P . A Z . g o v

Tempe Arizona 85282 Executive Director

City State Zip Title

End of Attachment 3-D https://procure.az.gov/bso/

File details come from the government source that posted it. Updated .