1-BPM006062_Boycott_of_Israel_Disclosure.pdf

Procurement

BOYCOTT OF ISRAEL DISCLOSURE

Boyco- of Israel Disclosure

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

• The Solicita8on or Contract has an es8mated value of less than $100,000;

• Contractor is a sole proprietorship;

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

• Contractor is a non-profit organiza8on.

Pursuant to A.R.S. §35-393.01, public en@@es are prohibited from entering into contracts “unless the contract includes a wriTen cer@fica@on that the company is not currently engaged in, and agrees for the dura@on of the contract to not engage in, a boycoT of goods or services from Israel.”

Under A.R.S. §35-393:

1. "Boyco-" means engaging in a refusal to deal, termina8ng business ac8vi8es or performing other ac8ons that are intended to limit commercial rela8ons with en88es doing business in Israel or in territories controlled by Israel, if those ac8ons are taken either:

(a) Based in part on the fact that the en8ty does business in Israel or in territories controlled by Israel.

(b) In a manner that discriminates on the basis of na8onality, na8onal origin or religion and that is not based on a valid business reason.

2. "Company" means an organiza8on, associa8on, corpora8on, partnership, joint venture, limited partnership, limited liability partnership, limited liability company or other en8ty or business associa8on, including a wholly owned subsidiary, majority-owned subsidiary, parent company or affiliate, that engages in for-profit ac8vity and that has ten or more full-8me employees.

3. "Public en8ty": (a) Means this State, a poli8cal subdivision of this State or an agency, board, commission or department of this

State or a poli8cal subdivision of this State. (b) Includes the universi8es under the jurisdic8on of the Arizona board of regents and community college districts as defined in sec8on 15-1401.

The cer8fica8on below does not include boyco-s prohibited by 50 United States Code Sec8on 4842 or a regula8on issued pursuant to that sec8on. 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 submi\ng this Offer does not par8cipate in, and agrees not to par8cipate in during the term of the contract, a boyco- of Israel in accordance with A.R.S. §§35-393 et seq. I understand that my en8re response will become public record in accordance with A.A.C. R2-7-C317.

☐ The Company submi\ng this Offer does par8cipate in a boyco- of Israel as described in A.R.S. §§35-393 et seq.

Exempt Solicita@on, Contract, or Contractor.

Indicate which of the following statements applies to this Contract:

☐ Solicita8on or Contract has an es8mated 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 organiza8on.

Company Name Signature of Person Authorized to Sign

Solicitation No: BPM006062 Available online at https://app.az.gov Page of 1 1

(Rev 09/2022) https://app.az.gov Alice Bingham X

Alice Bingham

K & K SYSTEMS, INC.

Procurement

BOYCOTT OF ISRAEL DISCLOSURE

Address Printed Name

City State Zip Title

Solicitation No: BPM006062 Available online at https://app.az.gov Page of 1 2

(Rev 09/2022) https://app.az.gov Alice Bingham

687 PALMETTO RD.

Alice Bingham

TUPELO, MS 38801

Alice Bingham

ALICE K BINGHAM

Alice Bingham

ACCOUNT MANAGER

Boycott of Israel Disclosure