1-filled Boycott of Israel Disclosure_000004.pdf

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Master Agreement AZ|CTR072271
Contract number
CTR072271
Issued by
Arizona

About this file

This document is an Arizona Department of Transportation (ADOT) Procurement Attachment for a Boycott of Israel Disclosure form, required under Arizona Revised Statutes §35-393.01. The document applies to public entities in Arizona, including state agencies, political subdivisions, universities under the Arizona Board of Regents, and community college districts. It requires contractors to certify whether they are participating in a boycott of goods or services from Israel.

The specific solicitation number is BFM000025, and the form is part of a procurement process where contractors must disclose their stance on boycotting Israel. The form provides an exemption for solicitations or contracts with an estimated value under $100,000, sole proprietorships, companies with fewer than ten employees, or non-profit organizations. The document is available online at https://app.az.gov and requires the contractor to either affirm they do not participate in a boycott of Israel or acknowledge their participation in such a boycott, with the understanding that their response will become a public record.

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ACIOT

Procurement

ATTACHMENT

BOYCOTT OF ISRAEL DISCLOSURE

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 OCR employees, OR

• Contractor is a non-proRtorganization

Pursuant to A.R.S. 05-393.01, public entities are prohibited from entering into contracts "unless the contract includes a written cedifieatIon that the company is not currently engaged in, and agrees for the duration of the contract to not engage in, a boycott of goods at services from Israel."

Under A.R.S. 435-393:

1. "Boycott" means engaging in a refusal to deal, terminating business activities or performing other actions that are intended to limit commercial Melons with entitles done 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 nations Sty, national origin or religion and that is not based on a vs lid business reason.

Companf means an organisation, associatton, corporation, partnership. Joint venture, limited pabnershlp, limited liability

Partnership. limited Pa hiller corn pany or other entity or business association, in a wholly earned to majority_ owned subsidiary, parent company or affiliate, that engages in for-profit activity and that has ten or more full-time employees.

3. "p blk entity.: (a) Means this State, a political subdivision of this state or an agency, board, commission or department of this

State or a political subdirtsion dithisState. (h) Includes the UMW rsitles under the jurisdiction of the Ar itena board of regents and c mmunlry college dtstrIcts as defined In section 15-1401.

The ertification below does not include boycotts prohibited by 50 United States Code Section 4842 or a regulation issued

Pursuant to that section. See Arts. S-393.03.

In compliance with A.R.S. 40S-393 et seq., all offerors must selett one of the following:

The Company submittinp.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 AA 5. 405-393 et seq. I understand that my entire response will become public record in accordance with &A.G. R2-7-017.

The Company submitting this Offer doe, participate inc boycott al Israel as described in A.R.S. 4435-392 et seq.

Exempt Solicitation, Contract, or Contractor.

Indicate which of the following statements applies to this Contract.

0 Solicitation or Contract has an estimated value of less than 5100,000, D Contractor is a sole proprietorship;

INstontractor has fewer than ten tie) employees: and/or

ID Contractor Is a non-profit organization.

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Solicitation No: 3ies1000025 Available online at httosirtaop az gov

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