2-BPM006653_Boycott_of_Israel_Disclosure (2).pdf

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Attached to
Master Agreement AZ|CTR077158
Contract number
CTR077158
Issued by
Arizona

About this file

This document is a Participation in Boycott of Israel Disclosure form from the Arizona Department of Transportation (ADOT), associated with Solicitation No. BPM006653. The form is specifically related to a legal requirement under Arizona Revised Statutes (A.R.S.) §35-393.01, which mandates that public entities cannot enter into contracts without a written certification that the contracting company is not engaging in a boycott of goods or services from Israel. The form is completed by Earnhardt's Gilbert Dodge, Inc. dba Earnhardt Chrysler Dodge Jeep Ram, located in Gilbert, Arizona.

The document does not detail specific goods or services under contract, but instead focuses on a compliance certification regarding business relations with Israel. The form provides options for companies to certify they are not participating in a boycott of Israel, are participating in such a boycott, or are exempt from the requirement due to factors like having fewer than ten employees, being a sole proprietorship, or having a contract value under $100,000. In this instance, Earnhardt's Gilbert Dodge has checked the box affirming they do not participate in, and agree not to participate in, a boycott of Israel during the contract term, with Angela Troge, Corporate Contracts Manager, signing the document.

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Text version

PARTICIPATION IN BOYCOTT OF ISRAEL

Solicitation No: BPM006653 Available online at https://app.az.gov

Rev. 11/2024

Boycott of Israel Disclosure

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; 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" 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.

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 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

City State Zip Title angela.troge Typewritten text X angela.troge Typewritten text Earnhardt's Gilbert Dodge, Inc. dba Earnhardt Chrysler Dodge Jeep Ram angela.troge Typewritten text 1521 E. Drivers Way angela.troge Typewritten text Gilbert AZ 85297 angela.troge Typewritten text Angela Troge angela.troge Typewritten text Corporate Contracts Mgr.

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