2-[Registry Staffing for the Arizona State Hospital] BPM006391 Attac E.pdf
PDF 338 KB Posted
- Attached to
- Registry Staffing for the Arizona State Hospital
- Solicitation number
- BPM006391
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This is a certification form (SPO Form 205 - Forced Labor of Ethnic Uyghurs Ban) submitted by LanceSoft Inc. in response to the Arizona Department of Health Services' solicitation BPM006391 for Registry Staffing Services at the Arizona State Hospital. The solicitation seeks contract(s) to provide Registry Staffing Services, including Behavioral Health Technicians (BHTs) and Registered Nurses (RNs), on an as-needed basis to supplement existing hospital staffing resources. The Arizona Department of Health Services anticipates requiring approximately twenty (20) Registry BHTs per shift across all shifts and multiple contractors to ensure adequate candidate pool availability. The solicitation was posted on February 24, 2025, with proposal responses due by March 10, 2025, for services in Maricopa County and the Phoenix City jurisdiction. The procurement is open to qualified staffing agencies with no specific set-aside designations noted.
LanceSoft Inc., located at 2121 Cooperative Way, Suite 130, Herndon, Virginia 20171, is required under Arizona Revised Statutes 35-394 to certify compliance regarding forced labor practices. The company selected the first certification option, confirming that it does not use, and agrees not to use during the contract term, any forced labor of ethnic Uyghurs in the People's Republic of China, any goods or services produced by such forced labor, or any contractors, subcontractors, or suppliers engaged in such practices. The certification was signed by Prashant Arni, Senior Vice President of Delivery and Operations, with contact information provided as marketing@lancesoft.com and 703-674-4500. No incumbent vendors are identified, and the file does not specify contract award values, renewal terms, or funding sources.
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Text version
Attachment E
Forced Labor of Ethnic Uyghurs Ban
ARIZONA DEPARTMENT OF
HEALTH SERVICES
150 North 18th Avenue, Suite 530
Phoenix, AZ 85007 Solicitation No.: BPM006391
PAGE
Description: REGISTRY STAFFING FOR THE
ARIZONA STATE HOSPITAL
OF
SPO Form 205 – Forced Labor of Ethnic Uyghurs Ban | Revision No. 1 | Revised 09-22
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, written certification is required to show that the company entering into a contract with a public entity 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 the 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.
Company Name Signature of person authorized to sign
Address Printed name and title
City, State, ZIP Contact email address Contact phone number
LanceSoft Inc.
2121 Cooperative Way, Suite 130
Herndon, Virginia, 20171
Prashant Arni - Sr. VP Delivery and Operations marketing@lancesoft.com 703-674-4500
File details come from the government source that posted it. Updated .