1-Courtesy Chevrolet ADOT Medium Boycott 04232025_ARIZr^NA.pdf

ARIZr^NA

PARTICIPATION IN BOYCOTT OF ISRAEL— DEPARTMENT OF —

TRANSPORTATION

Boycott of Israel Disclosure of the following apply to this Solicitation, Contract, or Contractor, then the Offeror shaN select the Contractor" option below:

Please note that if^

"Exempt Solicitation, Contract, or

. 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 written certification that the company is not currently engaged in, and agrees engage in, a boycott of goods or services from Israel."

into contracts "unless the contract includes a for the duration of the contract to not

Under A.R.S. §35-393:

limit either:

the fact that the entity does business in Israel or in territories controlled by Israel. ^ the basis of nationality, national origin or religion and that is

(a) Based In part on

(b) In a manner that discriminates on not based on a valid business reason.

association, corporation, partnership, joint venture, iimited partnership, limited liability department of this State

2. "Company" means an organization political subdivision of this State or an agency, board, commission or

5. "Public entity" means this State, a political subdivision of this State.

The certification below does not pursuant to that section. See A.R.S. §35-393.03.

In compliance with A.R.S. §§35-393 etseq., all offerors must select one of the following:

or a regulation issued include boycotts prohibited by 50 United States Code Section 4842 or a not to participate in during the term of the nderstand that my entire response willThe Company submitting this Offer does not participate in, and agrees contract, a boycott of Israel in accordance with A.R.S. §§35-393 etseq. I become public record in accordance with A.A.C. R2-7-C317.

submitting this Offer does participate in a boycott of Israel as u described in A.R.S. §§35-393 etseq.

□ The Company

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.

Coar Signature of Person Authorized to Sign Company Name

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J Printed Name v,e.ue.t fhPjdpP-

1733 B - Address

4 350141 Title ZipState

City

Page 1 of 1Available online at nttDs://aDP.az.goy Solicitation No; BPM006654

'sv. 11/202A