2- BPM006391 Attac D Boycott Everest Solutions.pdf
PDF 160 KB Posted
- Attached to
- Registry Staffing for the Arizona State Hospital
- Solicitation number
- BPM006391
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This is an Attachment D Boycott of Israel Disclosure form submitted by Everest Solutions, Inc. as part of RFP No. BPM006391 for Registry Staffing Services at the Arizona State Hospital, administered by the Arizona Department of Health Services. The procurement seeks to engage contractors to provide Behavioral Health Technicians (BHTs) and Registered Nurses (RNs) on an as-needed basis, with the hospital's primary staffing need estimated at approximately twenty (20) Registry BHTs per shift across all shifts. The solicitation was issued on February 24, 2025, with proposal responses due by March 10, 2025.
Pursuant to A.R.S. 35-393.01, the state of Arizona prohibits public entities from contracting with companies engaged in boycotts of Israel unless an exemption applies. Everest Solutions, Inc., a for-profit organization with ten or more employees located at 627 S 48th Street, Suite 103, Tempe, AZ 85281, certifies through authorized signatory Rajiv Verma (President) that the company does not participate in and agrees not to participate in a boycott of Israel during the contract term. The disclosure form confirms compliance with Arizona Revised Statutes Section 35-393 et seq., and all responses become public records in accordance with A.A.C. R2-7-C317.
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Text version
ATTACHMENT D
Boycott of Israel Disclosure
REQUEST FOR PROPOSAL
No.: BPM006391
REGISTRY STAFFING FOR THE ARIZONA
STATE HOSPITAL
ARIZONA DEPARTMENT OF
HEALTH SERVICES
150 North 18th Avenue, Suite 530 Phoenix, AZ 85007
Solicitation Attachment – Boycott of Israel Disclosure | Revision No. 1 | Revised 09-22
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; and/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": (a) 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. (b) Includes the universities under the jurisdiction of the Arizona board of regents and community college districts as defined in section 15-1401.
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:
☐ 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 a 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 and title
City State Zip Email address Phone number https://advance.lexis.com/document/?pdmfid=1000516&crid=1d22ae96-91e7-4fa9-b751-02b4d725faa3&pddocfullpath=%2Fshared%2Fdocument%2Ffe%2Furn%3AcontentItem%3A654C-M4F3-GXF6-84SC-00000-00&pdcontentcomponentid=4313&pdteaserkey=sr0&pditab=allpods&ecomp=rd-zk&earg=sr0&prid=a8f940d3-c58d-4e64-9124-f2bfdcdb31d8 X
EVEREST SOLUTIONS, Inc
627 S 48TH STREET SUITE 103
TEMPE
AZ
85281
RAJIV VERMA
PRESIDENT
RAJ@EVEREST-SOLUTIONS.COM
847-682-9495
File details come from the government source that posted it. Updated .