3-Anti-Discrimination Against Israel Affidavit.pdf
PDF 99 KB Posted
- Attached to
- Pre-Owned School Buses
- Solicitation number
- 25-14102
- Issued by
- Missouri
About this file
This is a compliance affidavit required by the State of Missouri for the Rockwood School District's solicitation for the sale of approximately fifteen (15) pre-owned school buses. The affidavit is mandatory for all contractors and vendors with ten or more employees bidding on contracts exceeding $100,000.
The affidavit requires the business entity's authorized representative to swear under oath that the company is not currently engaged in and will not engage in a boycott of goods or services from the State of Israel, Israeli companies, or entities doing business with Israel for the duration of any resulting agreement. The affiant must certify that the affidavit is signed voluntarily and without duress, and the document must be notarized before submission with the bid response.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 1-25-14102.docx | DOCX document | |
| 4-Schedule 1 - Bid Form.xlsx | XLSX spreadsheet | |
| 2-Acknowledgment Form RFP).pdf |
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Text version
AFFIDAVIT OF COMPLIANCE
WITH MISSOURI ANTI-DISCRIMINATION AGAINST ISRAEL ACT
(Contracts in excess of $100,0000.00/Companies with 10 employees or more)
STATE OF _____________________ )
) ss.
COUNTY OF ____________________ )
On this ________ day of _______________________, 20___, before me appeared ____________________________________________, personally known by me or otherwise proven to be the person whose name is subscribed on this affidavit and who, being duly sworn, stated as follows:
I am of sound mind, capable of making this affidavit, and personally swear or affirm that the statements made herein are truthful to the best of my knowledge. I am the ______________________________ (title) of _________________________________ (business entity) and I am duly authorized, directed or empowered to act with full authority on behalf of the business entity in making this affidavit.
Pursuant to RSMo § 34.600, I hereby swear or affirm that the business entity is not currently engaged in and shall not, for the duration of this agreement, engage in a boycott of goods or services from the State of Israel; companies authorized by, licensed by, or organized under the laws of the State of Israel; or companies, persons, or entities doing business in or with the state of Israel.
I acknowledge that I am signing this affidavit as the free act and deed of the business entity and that I am not doing so under duress.
Affiant’s Signature
Subscribed and sworn to before me this ______ day of ___________________, 20____.
Notary Public
My Commission expires:
File details come from the government source that posted it. Updated .