1-BPM005940 Boycott of Israel Disclosure.pdf
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- Attached to
- Master Agreement AZ|CTR069676
- Contract number
- CTR069676
- Issued by
- Arizona
About this file
This document is an Arizona Department of Transportation (ADOT) Boycott of Israel Disclosure form for Solicitation No. BPM005940, completed by Mandel Metals, Inc. DBA US Standard Sign, located in Franklin Park, Illinois. The form is a mandatory certification required by Arizona Revised Statutes §35-393.01, which prohibits public entities from entering contracts without a written certification that the company is not engaged in a boycott of goods or services from Israel.
The form requires the company to certify its stance regarding business relations with Israel, with Mandel Metals, Inc. explicitly checking the box indicating they do not participate in, and agree not to participate in, a boycott of Israel during the contract term. While specific contract details are not provided, the document is part of a procurement process that requires vendors to affirm their commitment to non-discriminatory business practices as a condition of contracting with the state of Arizona or its public entities.
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Text version
Procurement
ATTACHMENT TWO (2)
BOYCOTT OF ISRAEL DISCLOSURE
Solicitation No: BPM005940 Available online at https://app.az.gov
(Rev 09/2022)
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; 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": (a) 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. (b) Includes the universities under the jurisdiction of the Arizona board of regents and community college districts as defined in section 15-1401.
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., all offerors must select one of the following:
The Company submitting this Offer 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 public record in accordance with A.A.C. R2-7-C317.
☐ The Company submitting this Offer 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.
Mandel Metals, Inc. DBA US Standard Sign
Company Name Signature of Person Authorized to Sign
11400 W. Addison Ave.
David Pupillo Address Printed Name
Franklin Park Illinois 60131
Account Manager
City State Zip Title https://app.az.gov/
File details come from the government source that posted it. Updated .