5-No Boycot Israel Certification - fillable form.pdf
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- Solicitation number
- RFSQ 097-2026
- Issued by
- St. Louis City, Missouri
About this file
This is a No Israel Boycott Certification Form required by the State of Missouri for contract compliance with SCS/SB 739, the "Anti-Discrimination against Israel Act." The certification applies to contracts with St. Louis Public Schools for the benefit of Gateway MST Middle School's African American Literature Library Initiative. The form requires vendors to provide written verification that they do not currently boycott Israel and will not engage in such boycotts during the contract term. The certification must be completed and signed by an authorized company official and submitted as part of the contract documentation.
The certification requirement applies only to contracts with a total potential value of $100,000 or greater and to contractors with 10 or more employees. Any contract that fails to comply with the provisions of this act is deemed void against public policy. The form is fillable and requires the vendor name, printed name and signature of an authorized company official, date, and acknowledgment of compliance with the no-boycott certification requirements. This certification represents a mandatory compliance document for the RFQ: Community-Based On-Site Reading Services for Middle School Literacy Improvement and must be executed prior to contract award.
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Text version
NO ISRAEL BOYCOTT CERTIFICATION FORM
Effective July 13, 2020, a Missouri governmental entity many not enter into a contract with a company for goods or services unless the contract contains a written verification from the company that it: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the contract (MO. Gov’t Code
SCS/SB 739)
SCS/SB 739 - This act creates the "Anti-Discrimination against Israel Act". Under this Act, public entities are prohibited from entering into certain contracts with a company unless the contract includes a written certification that the company is not currently engaged in, and agrees for the duration of the contract not to engage in, a boycott of goods or services from the State of Israel or any company, or person or entity, doing business with or in the State of Israel. Any contract failing to comply with the provisions of this act shall be void against public policy.
This Act does not apply to contracts with a total potential value of less than $100,000 or to contractors with fewer than 10 employees.
BY SIGNATURE BELOW, I, the undersigned agent for the firm named below, certify and affirm that this firm AND its principals comply with the above referenced certifications:
Yes, we acknowledge and comply with the following:
NO ISRAEL BOYCOTT CERTIFICATION
Vendor Name:
Printed Name of Authorized Company Official:
Signature of Company Official:
Date:
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