4-Affidavit of Anti-Discrimination Against Israel.pdf

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Attached to
CHS Orchestra Instruments
Solicitation number
26-119
Issued by
Missouri

About this file

This is an Affidavit of Compliance with the Missouri Anti-Discrimination Against Israel Act applicable to state and local contracts exceeding $100,000 with companies employing 10 or more individuals in Missouri. The affidavit requires authorized business representatives to swear or affirm under oath that their organization is not currently engaged in and will not engage in a boycott of goods or services from the State of Israel, companies authorized by or licensed by the State of Israel, or companies doing business in or with Israel during the contract term. The document must be notarized and submitted as a compliance requirement for contract award eligibility.

This affidavit is a mandatory regulatory filing based on Missouri Revised Statutes Section 34.600, which governs procurement practices within the state. Failure to comply with the anti-boycott provisions outlined in the affidavit may result in contract disqualification or termination. The affiant must certify that execution is undertaken as a free act and not under duress, establishing the business entity's commitment to compliance throughout the entire contract duration.

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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 .