4-BPM005905_Forced_Labor_of_Ethnic_Uyghurs_Ban.pdf
PDF 518 KB Posted
- Attached to
- Master Agreement AZ|CTR073852
- Contract number
- CTR073852
- Issued by
- Arizona
About this file
This document is a Forced Labor of Ethnic Uyghurs Ban certification form from the Arizona Department of Transportation (ADOT) for procurement purposes. The document applies to The Hertz Corporation, which is submitting an offer under Solicitation No. BPM005905. The certification is pursuant to Arizona Revised Statutes § 35-394, which prohibits public entities from entering into contracts with companies that use forced labor of ethnic Uyghurs in the People's Republic of China.
The form requires the company to certify that it does not and will not use forced labor of ethnic Uyghurs, goods or services produced by such labor, or engage with contractors, subcontractors, or suppliers that use such labor during the contract term. The Hertz Corporation has completed the form, checking the box confirming they do not use such labor, with Michael DeRosa, Sr. Director of Government Sales, signing the document on 6/6/24. The document is part of Arizona's procurement requirements for companies seeking to do business with state entities.
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Text version
Procurement
FORCED LABOR OF ETHNIC UYGHURS BAN
Solicitation No: BPM005905 Available online at https://app.az.gov
SPO Form 205 (rev 09-2022)
Forced Labor of Ethnic Uyghurs Ban Please note that if any of the following apply to the Contractor, then the Offeror shall select the “Exempt Contractor” option below:
• Contractor is a sole proprietorship;
• Contractor has fewer than ten (10) employees; OR
• Contractor is a non-profit organization.
Pursuant to A.R.S. § 35-394, the State of Arizona prohibits a public entity from entering into or renewing a contract with a company unless the contract includes written certification that the company does not use the forced labor, or any goods or services produced by the forced labor, of ethnic Uyghurs in the People's Republic of China.
Under A.R.S. §35-394:
1. "Company" means an organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, limited liability company or other entity or business association, including a wholly owned subsidiary, majority-owned subsidiary, parent company or affiliate, that engages in for-profit activity and that has ten or more full-time employees.
2. "Public entity" means this State, a political subdivision of this State or an agency, board, commission or department of this State or a political subdivision of this State.
In compliance with A.R.S. §§ 35-394 et seq., all offerors must select one of the following:
The Company submitting this Offer does not use, and agrees not to use during the term of the contract, any of the following:
• Forced labor of ethnic Uyghurs in the People’s Republic of China;
• Any goods or services produced by the forced labor of ethnic Uyghurs in the People’s Republic of China; or
• Any Contractors, Subcontractors, or suppliers that use the forced labor or any goods or services produced by the forced labor of ethnic Uyghurs in the People’s Republic of China.
☐ The Company submitting this Offer does participate in use of Forced Uyghurs Labor as described in A.R.S. § 35-394.
Exempt Contractor.
Indicate which of the following statements applies to this Contractor (may be more than one):
☐ Contractor is a sole proprietorship;
☐ Contractor has fewer than ten (10) employees; and/or ☐ Contractor is a non-profit organization.
Company Name Signature of Person Authorized to Sign
Address Printed Name
City State Zip Title
Date
The Hertz Corporation
8501 Williams Rd.
Estero FL 33928
Michael DeRosa
Sr. Director of Government Sales
6/6/24
DocuSign Envelope ID: BD1C53EB-56BD-4561-A7DE-B91D34122474 https://app.az.gov/
Forced Labor of Ethnic Uyghurs Ban
| 2024-06-07T13:29:18-0700 | |
| Digitally verifiable PDF exported from www.docusign.com |
File details come from the government source that posted it. Updated .