2-Attachment 3-E Forced Labor of Ethnic Uyghurs Ban.pdf

1 MB Posted

Attached to
Master Agreement AZ|CTR077260
Contract number
CTR077260
Issued by
Arizona

About this file

Written by GovTribe AI ·

This document is an Offer Form for a Request for Proposal (Solicitation No. BPM006769) issued by the State of Arizona, Department of Child Safety, Office of Procurement & Contracts, located in Phoenix, Arizona. The specific attachment (3-E) addresses a Forced Labor of Ethnic Uyghurs Ban, which requires companies contracting with public entities to certify they do not use forced labor of ethnic Uyghurs in the People's Republic of China. The document is completed by Hope Community Services, Inc., a company based in Glendale, Arizona.

The solicitation is for Parenting Time Services, with the document requiring potential contractors to explicitly certify their compliance with Arizona Revised Statutes § 35-394. Hope Community Services, Inc. has selected the option certifying they do not use forced labor of ethnic Uyghurs, do not use goods or services produced by such labor, and do not work with contractors, subcontractors, or suppliers engaging in such practices. The company is represented by Kary Goitia, CEO, who has signed the document and provided contact information including an email (kgoitia@hcs-az.org) and phone number (623-848-8863).

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2-Attachment 3-B Key Personnel Proposal.pdf PDF
CTR077260_Certificate_of_Insurance.pdf PDF
CTR077260_Business_Associate_Agreement_with_HITECH.pdf PDF
2-Attachment 3-A Method of Approach.pdf PDF
2-Attachment 5-B Conformance Statements.pdf PDF
2-Attachment 2-B Offeror's Experience and Capacity.pdf PDF
CTR077260_Certificate_of_Insurance_2.pdf PDF
2-Attachment 3-C Proposed Subcontractors.pdf PDF
2-Attachment 2-D Listing of Employees and Subcontractors_Redacted.pdf PDF
Attachment 2-C Facility Location and Staffing Chart.pdf PDF
CTR077260_PTS_Executed_Contract.pdf PDF
2-Attachment 2-A Organization Profile.pdf PDF
CTR077260_Amendment_1_Text_Errors_NCNS_Rate_Request.pdf PDF
2-Attachment 2-E Experience and References.pdf PDF
Attachment 3-D Boycott of Israel Disclosure.pdf PDF
CTR077260_Boycott_of_Israel_Disclosure.pdf PDF
2-Attachment 5-A Confidential Information Designation.pdf PDF
CTR077260_HCS_Listing_of_Employees__Subcontractors_6.5.25_Redacted.pdf PDF
2-Attachment 4 Statewide Coverage.pdf PDF
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Attachment 3-E

Solicitation Instructions Part 2

A v a i l a b l e

SECTION 2-D: Offer Forms, Attachment 4

A P P . A Z . g o v o n l i n e a t :

Offer Forms

Request for Proposal Solicitation No. BPM006769

Parenting Time Services

State of Arizona Department of Child Safety

Office of Procurement & Contracts 3003 N. Central Avenue, 20th Floor

Phoenix, AZ 85012

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:

☐ 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.

Company Name Signature of person authorized to sign

Address Printed name and title

City, State, ZIP Contact email address Contact phone number

Hope Community Services, Inc.

5701 W Talavi Blvd #201

Glendale, Arizona 85306

Kary Goitia, CEO kgoitia@hcs-az.org 623-848-8863

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