2-ADOT_ECD_DLSSU_RFP--NEC_SPO_Form_205_Boycott_of_Israel_FINAL_2022_04-06.pdf

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Attached to
Master Agreement AZ|CTR061345
Contract number
CTR061345
Issued by
Arizona

About this file

The document is a Boycott of Israel Disclosure form from the Arizona Department of Transportation (ADOT) Procurement division, related to Solicitation No. BPM004292. The form is completed by NEC Corporation of America, located in Irving, Texas, and addresses compliance with Arizona Revised Statutes (A.R.S.) §35-393.01 regarding public entities' contractual requirements about business activities with Israel.

This specific disclosure requires the company to certify that it does not and will not participate in a boycott of Israel during the contract term. NEC Corporation of America has checked the box affirming they do not participate in such a boycott, with the document signed by Raffie Beroukhim, Sr. Vice President & Chief Experience Officer. The form applies to contracts valued at $100,000 or more and for companies with ten or more full-time employees, serving as a standard procurement compliance document for state contracts.

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Text version

Procurement PARTICIPATION IN BOYCOTT OF ISRAEL

Solicitation No: BPM004292 Available online at https://app.az.gov

SPO Form 205 (rev 10-2019)

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 (10) employees; OR

• Contractor is a non-profit organization.

Pursuant to A.R.S. §35-393.01, public entities are prohibited from entering into contracts “unless the contract includes a written certification that the company is not currently engaged in, and agrees for the duration of the contract to not engage in, a boycott of goods or services from Israel.”

Under A.R.S. §35-393:

1. "Boycott" means engaging in a refusal to deal, terminating business activities or performing other actions that are intended to limit commercial relations with entities doing 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 nationality, national origin or religion and that is not based on a valid business reason.

2. "Company" means an organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, limited liability company or other entity or business association, including a wholly owned subsidiary, majority-owned subsidiary, parent company or affiliate, that engages in for-profit activity and that has ten or more full-time employees.

5. "Public entity" means this State, a political subdivision of this State or an agency, board, commission or department of this State or a political subdivision of this State.

The certification below does not include boycotts prohibited by 50 United States Code Section 4842 or a regulation issued pursuant to that section. See A.R.S. §35-393.03.

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

X

The Company submitting 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 A.R.S. §§35-393 et seq. I understand that my entire response will become public record in accordance with A.A.C. R2-7-C317.

☐ The Company submitting this Offer does participate in a boycott of Israel as described in A.R.S. §§35-393 et seq.

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.

Company Name Signature of Person Authorized to Sign

Address Printed Name

City State Zip Title

NEC Corporation of America

3929 W. John Carpenter Freeway

Irving Texas 75063

Raffie Beroukhim

Sr. Vice President & Chief Experience Officer https://app.az.gov/ 217216X719514 Raffie Beroukhim

Boycott of Israel Disclosure

File details come from the government source that posted it. Updated .