2-SPO_Form_205_-_Forced_Labor_of_Ethnic_Uyghurs_Ban.pdf
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- Attached to
- Acquisition and Relocation Services On Call
- Solicitation number
- BPM006797
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This is a Forced Labor of Ethnic Uyghurs Ban Certification Form (Form 205) required by the State of Arizona Department of Transportation for the On Call Acquisition and Relocation Services solicitation (BPM006797). The form implements compliance with A.R.S. 35-394, which prohibits Arizona public entities from entering into or renewing contracts with companies that use forced labor of ethnic Uyghurs in the People's Republic of China or goods and services produced through such labor. All offerors must certify their compliance status by selecting one of three options: confirmation that the company does not use forced Uyghur labor or related goods/services and agrees not to use them during the contract term; acknowledgment of participation in forced Uyghur labor; or exemption status. The form has been signed by Sabrina Watson, identified as Broker/Owner of Agent Group LLC, located at 6501 E Greenway Parkway, Suite 103-325, Scottsdale, Arizona 85254.
The certification requirement applies to all companies defined under A.R.S. 35-394 as organizations engaging in for-profit activity with ten or more full-time employees. Sole proprietorships, organizations with fewer than ten employees, and non-profit organizations are exempt from this certification requirement. This attestation is a mandatory compliance document for participation in this Arizona state procurement and must be submitted with the proposal package to demonstrate the offeror's eligibility and commitment to ethical labor practices throughout the supply chain, including all contractors, subcontractors, and suppliers involved in performance of the contract.
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Text version
ATTACHMENT 3
FORCED LABOR OF ETHNIC UYGHURS BAN
Solicitation No: BPM006797 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.
Agent Group LLC
Company Name Signature of Person Authorized to Sign 6501 E Greenway Pkwy Suite 103-325
Sabrina Watson
Address Printed Name Scottsdale, AZ. 85254
Broker / Owner
City State Zip Title
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