5-Anti-Discrimination Against Israel Affidavit.docx
DOCX document 13 KB Posted
- Attached to
- Life Safety and Elevator Service Lines
- Solicitation number
- 26-13101
- Issued by
- Missouri
About this file
This is an affidavit of compliance document required by the State of Missouri for the Rockwood School District's Life Safety and Elevator Service Lines contract opportunity. The affidavit applies to all contractors and vendors with ten or more employees submitting proposals for contracts exceeding $100,000. Bidders must certify compliance with Missouri's Anti-Discrimination Against Israel Act (RSMo 34.600) by affirming under oath 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 for the duration of the contract. The affidavit must be signed by an authorized representative of the business entity and notarized before submission.
The affidavit serves as a mandatory certification requirement for bid eligibility rather than a substantive service or product specification. Failure to provide a completed and notarized affidavit may result in bid rejection or contract disqualification. The affidavit represents the contractor's voluntary commitment to compliance and acknowledges that the signature is made freely without duress, establishing a contractual obligation that extends throughout the entire term of any awarded agreement.
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| 1-26-13101.docx | DOCX document |
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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 .