2-[Sonoita Rest Area Asphalt and Concrete Demolition] #3 - SPO Form.pdf

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Attached to
Master Agreement AZ|CTR078420
Contract number
CTR078420
Issued by
Arizona

About this file

This document is Attachment 3 from the Arizona Department of Transportation, titled "Forced Labor of Ethnic Uyghurs Ban" for Solicitation No. BPM007046. It is a compliance certification form related to Arizona Revised Statutes (A.R.S.) § 35-394, which prohibits public entities in Arizona from entering or renewing contracts with companies that use forced labor of ethnic Uyghurs in the People's Republic of China. The specific company completing this document is Breinholt Contracting Company, Inc., located in Gilbert, Arizona.

The document requires companies with ten or more full-time employees to certify that they do not and will not use forced labor of ethnic Uyghurs, goods or services produced by such labor, or work with contractors, subcontractors, or suppliers engaged in such practices. Breinholt Contracting Company has selected the checkbox affirming they do not use such labor and agree not to do so during the contract term. The form provides exemptions for sole proprietorships, companies with fewer than ten employees, and non-profit organizations. The document is part of a state-level procurement process and requires signature and authorization from a company representative, in this case Jon Garner, the Project Manager.

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ATTACHMENT 3

FORCED LABOR OF ETHNIC UYGHURS BAN

Solicitation No: BPM007046 Available online at https://app.az.gov

Rev. 03/2025

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.

Company Name Signature of Person Authorized to Sign

Address Printed Name

City State Zip Title

Breinholt Contracting Company, Inc.

1955 W. Commerce Ave.

Gilbert AZ. 85233

Jon Garner

Project Manager https://app.az.gov/

Forced Labor of Ethnic Uyghurs Ban

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