4-Affidavit of Anti-Discrimination Against Israel.pdf
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- Solicitation number
- 26-132
- Issued by
- Missouri
About this file
This is an Affidavit of Compliance with Missouri's Anti-Discrimination Against Israel Act, applicable to Parkway School District's climbing walls and high ropes course inspection, maintenance, and certification contract opportunity in Missouri. The affidavit is required for contracts exceeding $100,000 or from companies with ten or more employees. Vendors must submit a sworn statement, notarized by a public official, confirming that their business entity is not currently engaged in and will not engage in a boycott of goods or services from the State of Israel, Israeli companies, or entities doing business with Israel during the contract term, which runs from September 1, 2026, through August 31, 2029, with optional additional years available.
The affidavit must be executed by an authorized representative of the bidding company who certifies under oath that the statements are truthful and made as a free act without duress. The document requires identification of the affiant's title and the business entity name, and must be properly notarized with the notary's commission expiration date noted. This compliance requirement ensures that vendors selected for the three-year agreement adhere to Missouri state law regarding Israel-related boycott restrictions throughout the contract period.
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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 .