3-Attachment 3 Forced Labor of Ethnic Uyghurs Ban - BPM006719_AMI EX.docx
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- Attached to
- Master Agreement AZ|CTR077085
- Contract number
- CTR077085
- Issued by
- Arizona
About this file
This document is an Attachment 3 to a Request for Proposal (Solicitation No. BPM006719) for Statewide Emergency Response Services and Solutions, issued by the Arizona Department of Administration State Procurement Office. The attachment specifically addresses compliance with Arizona Revised Statutes (A.R.S.) 35-394 regarding forced labor of ethnic Uyghurs in the People's Republic of China. The document is completed by AMI Expeditionary Healthcare, LLC, located in Reston, VA, with Thomas Kouloganis, President, certifying the company's labor practices.
The attachment requires contractors to certify that they do not use forced labor of ethnic Uyghurs, nor engage with contractors, subcontractors, or suppliers who do so. AMI Expeditionary Healthcare, LLC has checked the box affirming they do not use such labor and will not do so during the contract term. The document provides exemptions for sole proprietorships, companies with fewer than ten employees, and non-profit organizations. While specific contract details about emergency response services are not fully detailed in this attachment, it serves as a compliance document for the potential statewide contract.
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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 3 – Forced Labor of Ethnic Uyghurs Ban
Please note that if any of the following apply to the Contractor, then the Contractor 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, written certification is required to show that the company entering into a contract with a public entity does not use the forced labor, or use any contractors, subcontractors or suppliers that use the forced labor or any goods or services produced by 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, all Contractors must select one of the following:
| X |
| Company 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 does participate in the use of Forced Uyghurs Labor as described in A.R.S. § 35-394. |
| ☐ |
| Exempt Contractor: Select all statements that apply to the Contractor: |
| ☐ |
| Contractor is a sole proprietorship; |
| ☐ |
| Contractor has fewer than ten (10) employees; and/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, President
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 – Forced Labor of Ethnic Uyghurs Ban | Revision No. 3 | Revised 12-22 image1.png image2.jpg
File details come from the government source that posted it. Updated .