2-04072025scan (2).pdf

This document is an Arizona Department of Transportation "Participation in Boycott of Israel" disclosure form, specifically a boycott of Israel certification for a state solicitation, contract, or contractor. The document involves Anderson Ford Kingman, located in Kingman, Arizona, and is associated with Solicitation No. BPM006653. The form is designed to comply with Arizona Revised Statutes (A.R.S.) §35-393.01, which requires public entities to obtain written certification from companies regarding their engagement with Israel.

The form indicates that Anderson Ford Kingman does not participate in a boycott of Israel and agrees to maintain this stance throughout the contract term. The document provides an exemption for solicitations or contracts with an estimated value less than $100,000, those involving sole proprietorships, companies with fewer than ten employees, or non-profit organizations. The company's authorized representative, with the title of Service Manager, has signed the document, affirming their commitment to not engaging in boycott activities against Israel or Israeli-controlled territories based on nationality, national origin, or religion.