3-Attachment 2 Participation in Boycott of Israel - BPM006719_AMI EX.docx
DOCX document 54 KB Posted
- Attached to
- Master Agreement AZ|CTR077085
- Contract number
- CTR077085
- Issued by
- Arizona
About this file
This document is an Attachment 2 Boycott of Israel Disclosure form for Request for Proposal Solicitation No. BPM006719, issued by the Arizona Department of Administration State Procurement Office. The document involves AMI Expeditionary Healthcare, LLC, a company based in Reston, VA, and relates to a statewide contract for Emergency Response Services and Solutions. The attachment specifically addresses compliance with Arizona Revised Statutes (A.R.S.) 35-393 regarding business interactions with Israel.
The solicitation appears to be for emergency response services, with AMI Expeditionary Healthcare, LLC certifying that they do not participate in and will not participate in a boycott of Israel during the contract term. While specific service details are not fully elaborated in this document, the form indicates the contract is for a statewide emergency response solution. The document includes provisions for exemptions based on company size, value of contract, or non-profit status, with AMI Expeditionary Healthcare, LLC confirming they meet the contract requirements and providing contact information including an address in Reston, VA, and contact details for Thomas Kouloganis.
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Text version
Request for Proposal
Solicitation No. BPM006719
Statewide Emergency Response Services and Solutions Arizona Department of Administration State Procurement Office
Attachment 2 – Boycott of Israel Disclosure
Please note that if any of the following apply to this Solicitation, Contract, or Contractor, then the Offeror shall select the “Exempt Solicitation, Contract, or Contractor” option below:
· The Solicitation or Contract has an estimated value of less than $100,000;
· Contractor is a sole proprietorship;
· Contractor has fewer than ten (10) employees; or
· Contractor is a non-profit organization.
Pursuant to A.R.S. § 35-393.01, public entities are prohibited from entering into contracts “unless the contract includes a written certification that the company is not currently engaged in, and agrees for the duration of the contract to not engage in, a boycott of Materials or Services from Israel.”
Under A.R.S. § 35-393:
1. "Boycott" means engaging in a refusal to deal, terminating business activities or performing other actions that are intended to limit commercial relations with entities doing business in Israel or in territories controlled by Israel, if those actions are taken either:
(a) Based in part on the fact that the entity does business in Israel or in territories controlled by Israel.
(b) In a manner that discriminates on the basis of nationality, national origin or religion and that is not based on a valid business reason.
2. "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.
5. "Public entity": (a) 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. (b) Includes the universities under the jurisdiction of the Arizona board of regents and community college districts as defined in section 15-1401.
The certification below does not include boycotts prohibited by 50 United States Code Section 4842 or a regulation issued pursuant to that section. See A.R.S. § 35-393.03.
In compliance with A.R.S. § 35-393 et seq., all Offerors must select one of the following:
| X |
| The Company submitting this Offer does not participate in, and agrees not to participate in during the term of the contract, a boycott of Israel in accordance with A.R.S. § 35-393 et seq. I understand that my entire response will become a public record in accordance with A.A.C. R2-7-C317; |
| ☐ |
| The Company submitting this Offer does participate in a boycott of Israel as described in A.R.S. § 35-393 et seq.; or |
| ☐ |
| Exempt Solicitation, Contract, or Contractor. Indicate which of the following statements applies to this Contract (may be more than one): |
| ☐ |
| Solicitation or Contract has an estimated value of less than $100,000; |
| ☐ |
| Contractor is a sole proprietorship; |
| ☐ |
| Contractor has fewer than ten (10) employees; or |
| ☐ |
| Contractor is a non-profit organization. |
AMI Expeditionary Healthcare, LLC
Company name
Signature of person authorized to sign
12030 Sunrise Valley Dr, Suite 400
Thomas Kouloganis
Address
Printed name and Title
Reston, VA 20191
Thomas.kouloganis@ami.health 910-364-5456
City, State, ZIP
| Contact email address |
| Contact phone number |
Solicitation Attachment – Boycott of Israel Disclosure | Revision No. 2 | Revised 11-22 image2.png image1.png image3.jpg
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