2-Combined Certifications for Contracting .pdf
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- Pulaski County, Arkansas
About this file
This is a combined certifications form required for contracting with the City of Little Rock, Arkansas, issued by the Finance and Procurement department at Little Rock City Hall. The form establishes mandatory certifications that vendors must complete based on contract value thresholds, with three distinct certification requirements: Israel Boycott Restriction for contracts valued at $1,000 or greater, Illegal Immigrant Restriction for contracts valued at $25,000 or greater, and Energy, Fossil Fuel, Firearms, and Ammunition Industries Boycott Restriction for contracts valued at $75,000 or greater.
The form requires contractors to certify in writing that they do not currently and will not for the aggregate term of the contract participate in boycotts of Israel, employ illegal immigrants, or boycott Energy, Fossil Fuel, Firearms, or Ammunition Industries, depending on the applicable contract value thresholds. Contractors must provide their name, vendor number if assigned, signature, and date, with checkbox certifications for each applicable restriction. The certifications are mandated by Arkansas Code Annotated sections 25-1-503, 19-11-105, and 25-1-1102, and contractors must notify the City in writing if their status changes regarding any of these restrictions during the contract term.
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Text version
CITY OF LITTLE ROCK
Finace • Procurement
Little Rock City Hall
500 W. Markham St.
Little Rock, AR 72201
COMBINED CERTIFICATIONS FOR CONTRACTING WITH
THE CITY OF LITTLE ROCK
Pursuant to Arkansas law, a vendor must certify as specified below and as designated by the applicable laws.
1. Israel Boycott Restriction: For contracts valued at $1,000 or greater. A public entity shall not contract with a person or company (the “Contractor”) unless the Contractor certifies in writing that the Contractor is not currently engaged in a boycott of Israel. If at any time after signing this certification the Contractor decides to boycott Israel, the Contractor must notify the contracting public entity in writing. See Arkansas Code Annotated § 25-1-503.
2. Illegal Immigrant Restriction: For contracts valued at $25,000 or greater. No City agency or department may contract for services with a Contractor who knowingly employs or contracts with an illegal immigrant. The Contractor shall certify that it does not knowingly employ, or contract with, illegal immigrants. See Arkansas Code Annotated § 19-11-105.
3. Energy, Fossil Fuel, Firearms, and Ammunition Industries Boycott Restriction: For contracts valued at $75,000 or greater. A public entity shall not contract unless the contract includes a written certification that the Contractor is not currently engaged in and agrees not to engage in, a boycott of an Energy, Fossil Fuel, Firearms, or Ammunition Industry for the duration of the contract. See Arkansas Code Annotated § 25-1-1102.
By signing this form, the Contractor agrees and certifies they do not currently and shall not for the aggregate term of the contract, participate in the activities checked below:
Do not boycott Israel.
Do not employ illegal immigrants.
Do not boycott Energy, Fossil Fuel, Firearms, or Ammunition Industries.
Name of Vendor/Contractor
Vendor # (if assigned)
Contractor Signature Date
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