Appendix F - Boycott of Israel Disclosure.pdf
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- Solicitation number
- BPM007188
- Issued by
- Yavapai County, Arizona
About this file
This document is an Appendix F Boycott of Israel Disclosure form from Yavapai College Procurement & Contract Services located in Prescott, Arizona. The form is designed to comply with Arizona Revised Statutes (A.R.S.) § 35-393 et seq., which prohibits public entities from entering contracts without a written certification regarding business activities related to Israel. Offerors must indicate whether they participate in, do not participate in, or are exempt from a boycott of Israel, with exemptions applying to contracts under $100,000, sole proprietorships, companies with fewer than 10 employees, or non-profit organizations.
The document defines key terms such as "boycott" (refusing to deal with entities doing business in Israel), "company" (for-profit organizations with 10+ full-time employees), and "public entity" (including state agencies, political subdivisions, and community college districts). The form requires potential contractors to certify their stance on Israeli business relations, with the understanding that their entire response will become a public record. Contractors must carefully review and select the appropriate checkbox indicating their position on Israeli business activities, and provide company contact information and an authorized signature to complete the disclosure.
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APPENDIX F: BOYCOTT OF ISRAEL DISCLOSURE
Yavapai College
Procurement & Contract Services 1100 E Sheldon Street
Prescott, AZ 86301
Please note that if any of the following apply to this Solicitation, Contract, or Contractor, then the Offeror shall select the “Exempt Solicitation, Contract, or Contractor” option below:
• The Solicitation or Contract has an estimated value of less than $100,000;
• Contractor is a sole proprietorship;
• Contractor has fewer than ten (10) employees; and/or
• Contractor is a non-profit organization.
Pursuant to A.R.S. § 35-393.01, public entities are prohibited from entering into contracts “unless the contract includes a written certification that the company is not currently engaged in, and agrees for the duration of the contract to not engage in, a boycott of goods or services from Israel.”
Under A.R.S. § 35-393:
1. "Boycott" means engaging in a refusal to deal, terminating business activities or performing other actions that are intended to limit commercial relations with entities doing business in Israel or in territories controlled by Israel, if those actions are taken either:
a. Based in part on the fact that the entity does business in Israel or in territories controlled by Israel.
b. In a manner that discriminates on the basis of nationality, national origin or religion and that is not based on a valid business reason.
2. "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.
3. "Public entity": (a) 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. (b) Includes the universities under the jurisdiction of the Arizona board of regents and community college districts as defined in section 15-1401.
The certification below does not include boycotts prohibited by 50 United States Code Section 4842 or a regulation issued pursuant to that section. See A.R.S. § 35-393.03.
In compliance with A.R.S. § 35-393 et seq., all offerors must select one of the following:
☐ The Company submitting this Offer does not participate in, and agrees not to participate in during the term of the contract, a boycott of Israel in accordance with A.R.S. § 35-393 et seq. I understand that my entire response will become a public record in accordance with A.A.C. R2-7-C317.
☐ The Company submitting this Offer does participate in a boycott of Israel as described in A.R.S. § 35-393 et seq.
☐ Exempt Solicitation, Contract, or Contractor.
Indicate which of the following statements applies to this Contract:
☐ Solicitation or Contract has an estimated value of less than $100,000;
☐ 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
Street address Printed name and title
City, State ZIP Email address
Phone number
Updated 07/01/24 https://advance.lexis.com/document/?pdmfid=1000516&crid=1d22ae96-91e7-4fa9-b751-02b4d725faa3&pddocfullpath=%2Fshared%2Fdocument%2Ffe%2Furn%3AcontentItem%3A654C-M4F3-GXF6-84SC-00000-00&pdcontentcomponentid=4313&pdteaserkey=sr0&pditab=allpods&ecomp=rd-zk&earg=sr0&prid=a8f940d3-c58d-4e64-9124-f2bfdcdb31d8
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