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This document is a "Boycott of Israel Disclosure" form from the Arizona Department of Transportation (ADOT), specifically a solicitation certification related to Arizona Revised Statutes (A.R.S.) §635-393. The form requires Holmes Tuttle Ford, a company located in Tucson, Arizona, to disclose whether they participate in any boycott of Israel as part of a contracting process with the state.

The document requires the company to certify its stance on Israeli-related business activities, with Holmes Tuttle Ford specifically checking the box indicating they do not participate in, and agree not to participate in, a boycott of Israel during the contract term. The form is associated with Solicitation No. BPM006653 and applies to state contract requirements, with the company's Parts Manager signing the document. The certification is linked to specific legal provisions that prohibit public entities from entering contracts without written assurance that the company is not engaged in boycotting goods or services from Israel.