2-BPM006391_Attachment_D_Boycott of Israel.pdf

PDF 210 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 document is a Boycott of Israel Disclosure attachment to Request for Proposal No. BPM006391 issued by the Arizona Department of Health Services for Registry Staffing Services at the Arizona State Hospital. The disclosure form requires all offerors to certify their compliance status regarding boycotts of Israel in accordance with Arizona Revised Statutes Section 35-393 et seq. The solicitation targets the recruitment of Behavioral Health Technicians and Registered Nurses to supplement the hospital's existing staffing resources, with the hospital anticipating a need for approximately twenty BHTs per shift on an as-needed basis. The proposal response deadline was March 10, 2025, and ADHS anticipated engaging multiple contractors to ensure adequate candidate availability.

The disclosure form defines "boycott" under Arizona law as engaging in refusal to deal, terminating business activities, or performing actions intended to limit commercial relations with entities doing business in Israel or territories controlled by Israel, when such actions are based on the fact that the entity does business in Israel or discriminate on the basis of nationality, national origin, or religion without valid business reason. The form exempts solicitations or contracts with an estimated value under $100,000, sole proprietorships, contractors with fewer than ten employees, and non-profit organizations. Interim Healthcare of Queen Creek, represented by Co-Owner Brent Knodle and located at 1490 S Price Rd., Suite 110C, Chandler, AZ 85286, submitted the disclosure. All offerors must select one of three certification options: confirmation of non-participation in Israel boycotts, disclosure of current participation in such boycotts, or claim of exemption status.

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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

X

Interim Healthcare of Queen Creek

1490 S Price Rd., Suite 110C

Chandler AZ 85286

Brent Knodle Co-Owner bknodle@interimhealthcare.com (623)323-2999 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

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