2-BPM006653_SPO_Form_205_-_Forced_Labor_of_Ethnic_Uyghurs_Ban.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 State of Arizona Forced Labor of Ethnic Uyghurs Ban certification form (Solicitation No: BPM006653) related to a state procurement requirement. The document applies to public entities in Arizona and targets companies with ten or more full-time employees, mandating certification regarding labor practices involving ethnic Uyghurs in the People's Republic of China. The specific company completing this form is Kirby Automotive Company, located at 6400 N Viewpoint Dr in Prescott Valley, Arizona, with Brian Nerell listed as the owner.
The document requires companies to certify they do not use forced labor of ethnic Uyghurs or goods/services produced through such labor. Companies must select one of three options: affirm no use of such labor, acknowledge participation in such labor, or qualify as an exempt contractor (sole proprietorship, fewer than 10 employees, or non-profit organization). While no specific goods, services, pricing, or contract details are provided, the form represents a mandatory compliance document for potential state contractors, reflecting Arizona's legislative stance on ethical sourcing and labor practices.
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Other files
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| CTR077164_Contract_Administration_Documents.pdf | ||
| 2-BPM006653_Response_Form_Per_Amendment_One__1_.xlsx | XLSX spreadsheet | |
| 2-BPM006653_List_of_Subcontractor.xlsx | XLSX spreadsheet | |
| 2-BPM006653 Trade secrets (1).pdf | ||
| 2-BPM006653_Price_Increase_Percentages.docx | DOCX document | |
| 2-Proposal # 1-prop_items.xls | XLS spreadsheet | |
| 2-Financial Envelope-Proposal # 1-prop_answer.xls | XLS spreadsheet | |
| Updated_Certificate_of_Liability__1_.pdf | ||
| CTR077164_Contract_Documents.pdf | ||
| 2-BPM006653_Offer_and_Acceptance.docx | DOCX document | |
| CTR077164_Pricing.xlsx | XLSX spreadsheet | |
| 2-BPM006653_Boycott_of_Israel_Disclosure.docx | DOCX document |
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Text version
ATTACHMENT
FORCED LABOR OF ETHNIC UYGHURS BAN
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, the State of Arizona prohibits a public entity from entering into or renewing a contract with a company unless the contract includes written certification that the company 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 this 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. |
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
| Solicitation No: BPM006653 |
| Available online at |
https://app.az.gov
Rev. 11/2024 image2.png image3.png image1.png image4.jpeg
File details come from the government source that posted it. Updated .