1-FTC ADOT ISRAEL-25.pdf

This document is a Boycott of Israel Disclosure form from the Arizona Department of Transportation (ADOT) for a solicitation with the number BPM006654. The form requires vendors to certify their compliance with Arizona Revised Statutes (A.R.S.) §§35-393.01 regarding business interactions with Israel. The form is completed by True Repair Inc. dba Mullen Water, located in Flagstaff, Arizona, and signed by Barbara E. Chandik, the company's President.

The document specifically requires the vendor to disclose whether they participate in a boycott of Israel, with the completed form indicating that True Repair Inc. does not participate in such a boycott. The form applies to a solicitation or contract with an estimated value of less than $100,000, and the vendor affirms they will not engage in actions that limit commercial relations with entities doing business in Israel or territories controlled by Israel. The form will become a public record and is part of ADOT's procurement process, with the document available online at https://app.az.gov.