2-Attachment 3-E.docx
DOCX document 31 KB Posted
- Attached to
- Master Agreement AZ|CTR077262
- Contract number
- CTR077262
- Issued by
- Arizona
About this file
This document is an Attachment 3-E form related to a state contract certification, specifically addressing Arizona Revised Statute (A.R.S.) 35-394 regarding the prohibition of forced labor of ethnic Uyghurs. The document involves Maximum Family Care, LLC, a company located in Phoenix, Arizona, certifying compliance with state regulations for public entity contracting. The form requires companies with ten or more full-time employees to confirm they do not use forced labor of ethnic Uyghurs in the People's Republic of China.
The document does not provide specific details about goods, services, pricing, or contract terms. Instead, it focuses on a mandatory certification process where the contractor (Maximum Family Care, LLC) must affirm they do not utilize forced labor of ethnic Uyghurs or products/services produced through such labor. The company, represented by Merny E Harrison (Owner/CFO), has selected the certification option confirming non-participation in forced labor practices. Exemptions are available for sole proprietorships, companies with fewer than ten employees, and non-profit organizations.
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Other files
| File | Type | Posted |
|---|---|---|
| 2-5a(2) (1).docx | DOCX document | |
| 2-5b.docx | DOCX document | |
| 2-Attachment 2-B.1 (2).docx | DOCX document | |
| 2-Attachment 3-D.docx | DOCX document | |
| BPM006769 Amended Attachment 4.docx | DOCX document | |
| CTR077262_Certificate_of_Insurance_2.pdf | ||
| 2-Attachment 3-B.docx | DOCX document | |
| CTR077262_Business_Associates-HIPPA.1.pdf | ||
| 2-Attachment 2-A.docx | DOCX document | |
| 2-Attachment 2-C.docx | DOCX document | |
| 2-Attachment 2-D_redacted.docx | DOCX document | |
| 2-Attachment 3-A.1 (1).docx | DOCX document | |
| CTR077262_PTS_Executed_Contract.pdf | ||
| 2-Attachment 2-E References.docx | DOCX document | |
| 2-Attachment 3-C.docx | DOCX document | |
| BAFO Response.docx | DOCX document | |
| CTR077262_Amendment_1_Text_Errors_NCNS_Rate_Request.pdf | ||
| CTR077262_Boycott_of_Israel.pdf | ||
| CTR077262_Certificate_of_Insurance.pdf | ||
| CTR077262_Listing_of_Employees___Subcontractors_Redacted.pdf |
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Text version
Attachment 3-E Forced Labor of Ethnic Uyghurs Ban
Please note that if any of the following apply to the Contractor, then the Offeror shall select the “Exempt Contractor” option below:
· Contractor is a sole proprietorship;
· Contractor has fewer than ten (10) employees; OR ● Contractor is a non-profit organization.
Pursuant to A.R.S. § 35-394, written certification is required to show that the company entering into a contract with a public entity does not use the forced labor, or any goods or services produced by the forced labor, of ethnic Uyghurs in the People's Republic of China. Under A.R.S. § 35-394:
1. "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.
2. "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.
In compliance with A.R.S. §§ 35-394 et seq., all offerors must select one of the following:
☐ XXX The Company submitting this Offer does not use, and agrees not to use during the term of the contract, any of the following:
· Forced labor of ethnic Uyghurs in the People’s Republic of China;
· Any goods or services produced by the forced labor of ethnic Uyghurs in the People’s Republic of China; or
· Any Contractors, Subcontractors, or suppliers that use the forced labor or any goods or services produced by the forced labor of ethnic Uyghurs in the People’s Republic of China.
☐ The Company submitting this Offer does participate in use of Forced Uyghurs Labor as described in A.R.S. § 35-394.
☐ Exempt Contractor: Indicate which of the following statements applies to the Contractor (may be more than one): ☐ Contractor is a sole proprietorship;
| ☐ Contractor has fewer than ten (10) employees; and/or | ☐ Contractor is a non-profit organization. |
| MAXIMUM FAMILY CARE, LLC | |
| Company Name |
Signature of person authorized to sign
| 3823 E HIDDENVIEW DR | MERNY E HARRISON, OWNER/CFO |
| Address |
Printed name and title
| PHOENIX, AZ 85048 | m.harrison@maximumfamilycarellc.org 480-215-6266 |
| City, State, ZIP |
Contact email address Contact phone number image1.png
File details come from the government source that posted it. Updated .