4-Affidavit of Anti-Discrimination Against Israel.pdf
PDF 99 KB Posted
- Attached to
- Food Service Management Company Service Program
- Solicitation number
- 26-85
- Issued by
- Missouri
About this file
This is an Affidavit of Compliance with the Missouri Anti-Discrimination Against Israel Act required for state and local contracts in Missouri exceeding $100,000 with companies employing 10 or more persons. The affidavit applies to a Food Service Management Company Service Program contract for a Local Education Agency (LEA) school or district. The document serves as a compliance certification whereby an authorized representative of the contracting business entity swears 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 by or licensed by the State of Israel, or companies doing business in or with the state of Israel for the duration of the agreement.
The affidavit must be completed, signed by an authorized officer of the business entity, and notarized before a notary public. The signatory acknowledges that the affidavit is executed as a free act and deed without duress. This compliance document is a prerequisite requirement under Missouri Revised Statutes Section 34.600 for contract eligibility and must be submitted as part of the proposal or award process for qualifying state and local contract opportunities in Missouri.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 2-Terms and Conditions.pdf | ||
| 5-Parkway-Rebid-Final.pdf | ||
| 3-AffidavitofNonCollusion.pdf | ||
| 1-Federal Work Authorization Program.pdf |
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 .