2-BPM006653_Boycott_of_Israel_Disclosure.docx

DOCX document 1 MB Posted

Attached to
Master Agreement AZ|CTR077164
Contract number
CTR077164
Issued by
Arizona

About this file

This document is a Boycott of Israel Disclosure form from Arizona, specifically related to Solicitation No. BPM006653. The form is completed by Kirby Automotive Company, located at 6400 N Viewpoint Dr in Prescott Valley, AZ, and signed by Brian Nerell in his capacity as Owner. The document is designed to comply with Arizona Revised Statutes (A.R.S.) 35-393.01, which requires public entities to obtain certification from companies regarding their stance on boycotting goods or services from Israel.

While the document does not detail specific contract goods or services, it requires the company to certify whether they participate in a boycott of Israel. In this case, Kirby Automotive Company has selected the option affirming they do not participate in, and agrees not to participate in, a boycott of Israel during the contract term. The form provides exemptions for solicitations or contracts with an estimated value under $100,000, sole proprietorships, companies with fewer than 10 employees, or non-profit organizations. The certification is part of a broader state procurement requirement aimed at ensuring fair and non-discriminatory business practices.

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Text version

PARTICIPATION IN BOYCOTT OF ISRAEL

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.

Kirby Automotive

Company Name

Signature of Person Authorized to Sign

6400 N Viewpoint Dr

Brian Nerell

Address

Printed Name

Prescott Valley AZ 86314

Owner

City
State
Zip

Title

Company Name

Signature of Person Authorized to Sign

6400 N Viewpoint Dr

Brian Nerell

Brian Nerell

Address

Printed Name

Prescott Valley AZ 86314

Owner

Owner

City
State
Zip

Title

Solicitation No: BPM006653
Available online at

https://app.az.gov

Rev. 11/2024 image2.png image1.png image3.jpeg

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