2-ADOT Sanderson Boycott.pdf
PDF 91 KB Posted
- Attached to
- Master Agreement AZ|CTR077154
- Contract number
- CTR077154
- Issued by
- Arizona
About this file
The document is a "Participation in Boycott of Israel" disclosure form from the Arizona Department of Transportation, associated with Solicitation No. BPM006653. The form is designed to ensure compliance with Arizona Revised Statutes (A.R.S.) §35-393, which requires companies seeking to contract with public entities in Arizona to certify they are not participating in a boycott of Israel.
The form allows companies to declare their stance on boycotting Israel, with two primary options: affirming they do not and will not participate in a boycott of Israel during the contract term, or acknowledging participation in such a boycott. The document provides exemptions for solicitations or contracts with an estimated value less than $100,000, sole proprietorships, companies with fewer than ten employees, and non-profit organizations. In this specific instance, the form is signed by Don Sanderson from a company located at 1400 N. 51st Ave in Glendale, Arizona, with Tom Duenkel, the Gyed Operations Director, authorizing the submission.
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Text version
ARIZONA
PARnCIPATiON IN BOYCOTT OF ISRAEL— CePARTMENTOF —
TRANSPORTATION
Boycott of Israel Disclosure
Please note that if any of the following apply to this Solicitation, Contract, or Contractor, then the Offeror select the '^Exempt Solicitation, Contract, or Contractor* <H>flon below:
● The Solicitation or Contract has an estimated value of less than $1(K),000;
● Contractor is a sole proprietorship;
● Contractorhas fewerftian ten (10) employees; OR
● Contractor is a non-profit organization.
Pursuant to A.R^ §35-393.01, public entities are prohibited from entering into contracts "unless the contract includes a written certification that the company Is not currently eng^ed in, and agrees for the duratfon 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 a refusal to deal, terminating business activities or performing other actions that are intended to limit commercial relations udth 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 natfonaRty, nationai origin or religion and that is not based on a valid business reason.
2. "Company" means an organization, assodation, corporation, partnership, joint venture limited partnership, limited liability partnership, limited liablBty company or other entity or business association, including a whoHy owned subsidiary, majority-owned subsidiary, parent company or affiliate^ that engages in for-profit activity and that has ten or more ftilWme employees.
5. "Public entity" means this State, a political subdivision of this State or an agency, board, commisaon or departm&tt of itiis State or a political subdivision ofthte State.
The certification below do« 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 complfcince with A.R.S. §^&a93 ef seg., aU offerors must select one of the following:
The Company submitting this Offer does not participate in, and agrees not to participate in during the term of the contract, a b^cott of Israel In accordance with A.R.S. §§35-393 etseq. 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.R5. §§35-393 et seg.D
Exempt Solkftation, Qmtract^ or Cofitractm-.
Indicate which of the following statements applies to this Contract:
□ Solicitationor Contracthas an estimatedvalue 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.
OMBpatiyNsrae
MDb fht Address
U6» Signatiife of Person Authoriied to Sign
Tdiv\ T)u^/\ViU- Printed Neme
Az.£ 2PState
Pagelof 1Available onlirte at httDs://aDD.a2.gov Solicitation No: BPM006653
Rev. n/JO’-i
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