2-BPM006391 Attach E KR Young.pdf
PDF 198 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 a certification form (SPO Form 205) submitted by AtWork Personnel in response to a solicitation from the Arizona Department of Health Services for Registry Staffing Services at the Arizona State Hospital. The solicitation, numbered BPM006391, seeks qualified contractors to provide Behavioral Health Technicians (BHTs) and Registered Nurses (RNs) on an as-needed basis. The primary staffing need is for approximately twenty (20) Registry BHTs per shift across all shifts to supplement existing hospital resources. The proposal response deadline was March 10, 2025, with the solicitation posted on February 24, 2025. The procurement covers Maricopa County, specifically the Phoenix City jurisdiction, and ADHS anticipates engaging multiple contractors to maintain an adequate candidate pool for facility needs.
The submitted form certifies compliance with Arizona Revised Statutes (A.R.S.) 35-394, the Forced Labor of Ethnic Uyghurs Ban. AtWork Personnel, through authorized representative Tarmara Woodard, certifies that the company does not use forced labor of ethnic Uyghurs, does not utilize goods or services produced by such forced labor, and does not engage contractors, subcontractors, or suppliers that use such labor. The company meets the threshold definition of "Company" under the statute as an organization with ten or more full-time employees. Contact information for AtWork Personnel includes their Phoenix, Arizona address at 1860 N. 95th Ln. #130, with contact details provided as twoodard@atwork.com and 706-288-4338. No specific contract award value, incumbent vendors, or renewal terms are detailed in this certification document.
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Text version
Attachment E
Forced Labor of Ethnic Uyghurs Ban
ARIZONA DEPARTMENT OF
HEALTH SERVICES
150 North 18th Avenue, Suite 530
Phoenix, AZ 85007 Solicitation No.: BPM006391
PAGE
Description: REGISTRY STAFFING FOR THE
ARIZONA STATE HOSPITAL
OF
SPO Form 205 – Forced Labor of Ethnic Uyghurs Ban | Revision No. 1 | Revised 09-22
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
Tarmara Woodard twoodard@atwork.com 706-288-4338
AtWork Personnel | AtWork For You™
1860 N. 95th Ln. #130
Phoenix, AZ 85037
File details come from the government source that posted it. Updated .