3-Anti-Discrimination Against Israel Affidavit.pdf
PDF 99 KB Posted
- Attached to
- Real Estate Broker Services
- Solicitation number
- 26-07101
- Issued by
- Missouri
About this file
This is an affidavit of compliance document required by the State of Missouri for the Rockwood School District's Real Estate Broker Services contract solicitation. The affidavit applies to contracts exceeding $100,000 with companies employing 10 or more individuals. The document requires an authorized representative of the bidding business entity 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, companies authorized or licensed by Israel, or companies doing business in or with Israel during the contract term. The affiant must sign the document as a free and voluntary act without duress and have it notarized before submission.
The affidavit is mandated under Missouri Revised Statute 34.600 and represents a compliance certification rather than a pricing or service specification document. All prospective contractors for this real estate broker services opportunity must complete and submit this notarized affidavit to demonstrate compliance with Missouri's anti-discrimination against Israel statute. The form requires standard notarization elements including the notary public's signature and commission expiration date.
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Other files
| File | Type | Posted |
|---|---|---|
| 1-26-07101.docx | DOCX document | |
| 2-Acknowledgment Form RFP).pdf | ||
| 4-E-Verify.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 .