7-No Boycot Israel Certification - fillable form.pdf
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- Attached to
- Tornado: Dewey ROOF
- Solicitation number
- RFP 092-2025
- Issued by
- St. Louis City, Missouri
About this file
This is a No Israel Boycott Certification Form required by the State of Missouri for government contracts under the Anti-Discrimination Against Israel Act (SCS/SB 739). The certification applies to all Missouri governmental entities entering into contracts with vendors. The form requires vendors to provide written verification that they do not boycott Israel and will not engage in any boycott of Israeli goods, services, or entities doing business with the State of Israel during the contract term. The certification must be completed and signed by an authorized company official and submitted with the contract documentation.
The certification requirement applies to contracts with a total potential value of $100,000 or greater and to contractors with ten or more employees. Any contract that fails to comply with the provisions of this act is considered void against public policy. The form is fillable and requires the vendor to provide their company name, the printed name and signature of an authorized company official, and the date of certification. Completion and submission of this certification form is mandatory for contract eligibility with Missouri governmental entities.
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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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