4-Affidavit of Anti-Discrimination Against Israel.pdf
PDF 99 KB Posted
- Attached to
- Apple Reseller
- Solicitation number
- 26-136
- Issued by
- Missouri
About this file
This is an Affidavit of Compliance document required by the State of Missouri for contracts exceeding $100,000 with companies employing 10 or more individuals. The affidavit applies to the Parkway School District's Apple Reseller contract opportunity, which seeks a vendor to resell Apple devices being retired from the district's fleet, including iMacs, Mac Minis, MacBooks, iPads, and Apple TVs. The affidavit must be completed and notarized by an authorized representative of the bidding business entity prior to contract award.
The affidavit requires the contracting entity to certify compliance with Missouri's anti-discrimination against Israel Act (RSMo 34.600), affirming under oath that the company is not currently engaged in and will not engage in a boycott of Israeli goods or services, Israeli-authorized or licensed companies, or entities doing business with Israel for the duration of the agreement. The affidavit must be signed voluntarily without duress and notarized before a notary public. Failure to provide this certification may result in contract disqualification.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .