5-Anti-Discrimination Against Israel Affidavit.docx
DOCX document 13 KB Posted
- Attached to
- Substitute Employment Management System
- Solicitation number
- 25-08101
- Issued by
- Missouri
About this file
This document is an Affidavit of Compliance with the Missouri Anti-Discrimination Against Israel Act, applicable to state contracts exceeding $100,000 for businesses with 10 or more employees. The affidavit requires a business representative to swear or affirm that their organization is not currently engaged in, and will not engage in, a boycott of goods or services from the State of Israel, Israeli-authorized companies, or entities doing business with Israel. This document is related to a State of Missouri contract opportunity for a Substitute Employment Management System.
The associated contract opportunity involves a school district seeking a comprehensive substitute employee management system to support approximately 1,600 certified staff (who will require substitutes for 9.5 months annually) and 250 other employees (who will not require substitutes for 12 months). The anticipated service commencement is July 1, 2026. The affidavit serves as a compliance mechanism ensuring that potential vendors do not participate in boycotts against Israel, which is a prerequisite for bidding on state contracts in Missouri.
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Other files
| File | Type | Posted |
|---|---|---|
| 4-MO NDPA V1 Approved Over5000withExH.pdf | ||
| 7-25-08101.pdf | ||
| 1-Acknowledgment Form (Services).pdf | ||
| 2-E-Verify.doc | DOC document | |
| 3-Form K-12CVAT-Lite-V3.0 (1).xlsx | XLSX spreadsheet | |
| 6-Pricing Table.xlsx | XLSX spreadsheet |
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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 .