1-BPM005940 Forced Labor of Ethnic Uyghurs Ban.pdf
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- Attached to
- Master Agreement AZ|CTR069676
- Contract number
- CTR069676
- Issued by
- Arizona
About this file
This document is Attachment Three (3) from the Arizona Department of Transportation (ADOT) Procurement division, specifically a Forced Labor of Ethnic Uyghurs Ban certification form for Solicitation No. BPM005940. The document pertains to a state-level requirement under Arizona Revised Statutes § 35-394, which prohibits public entities from entering or renewing contracts with companies that use forced labor of ethnic Uyghurs in the People's Republic of China. The form is completed by Mandel Metals, Inc. DBA US Standard Sign, located in Franklin Park, Illinois, with David Pupillo signing as the Account Manager on 1/22/2024.
The document requires the company to certify that it does not and will not use forced labor of ethnic Uyghurs, goods or services produced by such labor, or engage with contractors, subcontractors, or suppliers that utilize such labor during the contract term. The certification applies to companies with ten or more full-time employees, with exemptions for sole proprietorships, companies with fewer than ten employees, and non-profit organizations. By completing this form, Mandel Metals, Inc. has affirmed compliance with the Arizona state regulation by checking the box indicating they do not participate in the use of forced Uyghur labor.
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Text version
Procurement
ATTACHMENT THREE (3)
FORCED LABOR OF ETHNIC UYGHURS BAN
Solicitation No: BPM005940 Available online at https://app.az.gov
SPO Form 205 (rev 09-2022)
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 submitting this Offer 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 this 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.
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
1/22/2024
Date https://app.az.gov/
File details come from the government source that posted it. Updated .