4-Affidavit of Anti-Discrimination Against Israel.pdf
PDF 99 KB Posted
- Attached to
- Food Pantry Items
- Solicitation number
- 26-133
- Issued by
- Missouri
About this file
This is an Affidavit of Compliance with Missouri's Anti-Discrimination Against Israel Act required for the Parkway School District's Food Pantry Items procurement. The affidavit applies to contracts exceeding $100,000 or businesses with 10 or more employees. The Parkway School District is seeking bids from qualified distributors to supply food pantry items under a blanket purchase order agreement for the period July 1, 2026 through June 30, 2027. Requested items include shelf-stable foods, refrigerated and frozen foods, fresh produce, beverages, household supplies, personal hygiene products, and other pantry-related items as needed. Vendors may submit bids for any portion of the requested items, and the District reserves the right to make multiple awards by item, category, group, or in total. Vendors have the opportunity to submit multi-year proposals, and the District does not guarantee any minimum purchase quantities.
The affidavit requires the business entity's authorized representative to swear or affirm compliance with RSMo 34.600, certifying that the entity 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 Israel, or companies doing business with Israel during the contract term. The affiant must sign the document voluntarily and not under duress, and the affidavit must be notarized before a notary public.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 1-Terms and Conditions.pdf | ||
| 2-Affidavit of Non-Collusion.pdf | ||
| 3-E-Verify - 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 .