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This document is an Arizona Department of Transportation (ADOT) Forced Labor of Ethnic Uyghurs Ban Attachment, which is a compliance form for state contract solicitation number BPMOO6653. The document pertains to the State of Arizona's legal requirement under A.R.S. § 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 specifically completed by Anderson Ford Kingman, located at 3601 Stockton Hill Rd in Kingman, Arizona.

The attachment requires the contractor to certify that they do not use forced labor of ethnic Uyghurs, do not utilize any goods or services produced by such forced labor, and do not engage with contractors, subcontractors, or suppliers who use such labor. The document provides an "Exempt Contractor" option for businesses that are sole proprietorships, have fewer than ten employees, or are non-profit organizations. In this case, Anderson Ford Kingman has selected the option affirming they do not use forced Uyghur labor and agrees to maintain this commitment throughout the contract term. The form is signed by an authorized representative and dated, indicating the company's compliance with the state's labor sourcing requirements.