2-Anti-Discrimination Against Israel Affidavit.docx

DOCX document 13 KB Posted

Attached to
Robotic Lawn Mower
Solicitation number
26-10101
Issued by
Missouri

About this file

This is an affidavit of compliance document required by the Missouri Anti-Discrimination Against Israel Act for the Rockwood School District's Facilities Management Software contract opportunity. The affidavit applies to contracts exceeding $100,000 and companies with 10 or more employees. The document serves as a legal declaration wherein an authorized representative of the bidding business entity swears under oath that the company is not currently engaged in and will not engage in a boycott of goods or services from the State of Israel, Israeli companies, or entities doing business with Israel for the duration of the agreement.

The affidavit must be completed before a notary public and submitted as part of the proposal response. The signatory affirms that the statement is made freely and without duress, and the notary certifies the date of execution and commission expiration. This compliance requirement is mandated under RSMo 34.600 and represents a material condition for contract eligibility in Missouri state and local procurements meeting the specified financial and employee thresholds.

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Other files

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1-Acknowledgement Form.pdf PDF
4-Form K-12CVAT-Lite-V3.0 (1).xlsx XLSX spreadsheet
5-26-10101.docx DOCX document
3-E-Verify.doc DOC document
1-Acknowledgment Form (RFP).docx DOCX document

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Text version

AFFIDAVIT OF COMPLIANCE

WITH MISSOURI ANTI-DISCRIMINATION AGAINST ISRAEL ACT

(Contracts in excess of $100,0000.00/Companies with 10 employees or more)

STATE OF _____________________ )

) ss.

COUNTY OF ____________________ )

On this ________ day of _______________________, 20___, before me appeared ____________________________________________, personally known by me or otherwise proven to be the person whose name is subscribed on this affidavit and who, being duly sworn, stated as follows:

I am of sound mind, capable of making this affidavit, and personally swear or affirm that the statements made herein are truthful to the best of my knowledge. I am the ______________________________ (title) of _________________________________ (business entity) and I am duly authorized, directed or empowered to act with full authority on behalf of the business entity in making this affidavit.

Pursuant to RSMo § 34.600, I hereby swear or affirm that the business entity is not currently engaged in and shall not, for the duration of this agreement, engage in a boycott of goods or services from the State of Israel; companies authorized by, licensed by, or organized under the laws of the State of Israel; or companies, persons, or entities doing business in or with the state of Israel.

I acknowledge that I am signing this affidavit as the free act and deed of the business entity and that I am not doing so under duress.

Affiant’s Signature

Subscribed and sworn to before me this ______ day of ___________________, 20____.

__________________________________
Notary Public

My Commission expires:

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