Adorama_Forced_Labor_of_Ethnic_Uyghurs_Ban.pdf
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- Attached to
- Master Agreement AZ|CTR062938
- Contract number
- CTR062938
- Issued by
- Arizona
About this file
This is a Forced Labor of Ethnic Uyghurs Ban certification form (SPO Form 205) issued by the State of Arizona, State Procurement Office. The form documents compliance certification for Adorama Inc., a New York-based company located at 42 West 18th Street, New York, NY 10011. The certification is associated with contract reference number CTR-062938 and is signed by Caroline Brzuszek-Egan, Bid Coordinator, on behalf of Adorama Inc.
The contract pertains to the procurement of optics and accessories. Adorama Inc. has certified compliance with Arizona Revised Statutes § 35-394 by affirming that the company does not use, and agrees not to use during the contract term, forced labor of ethnic Uyghurs in the People's Republic of China, goods or services produced by such forced labor, or any contractors, subcontractors, or suppliers that engage in such practices. The certification applies to companies with ten or more full-time employees engaged in for-profit activity and contracting with Arizona public entities. Adorama Inc. does not qualify for the exemption categories (sole proprietorship, fewer than ten employees, or non-profit organization status).
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Text version
Forced Labor of Ethnic Uyghurs Ban State of Arizona
State Procurement Office 100 N 15th Avenue, Ste 350
Phoenix, AZ 85007
Reference #
PAGE
Description:
OF
SPO Form 205 – Forced Labor of Ethnic Uyghurs Ban | Revision No. 1 | Revised 09-22
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, written certification is required to show that the company entering into a contract with a public entity 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 the 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 and title
City, State, ZIP Contact email address Contact phone number x
Adorama Inc.
42West 18th Street
New York,NY,10011
Caroline Brzuszek-Egan, Bid Coordinator carolineb@adorama.com 212-741-0401
CTR-062938
Optics and accessories
File details come from the government source that posted it. Updated .