Attachment_2_-_Boycott_of_Israel_Disclosure.pdf

PDF 179 KB Posted

Attached to
Electronic Payment Transaction Processing Services
Solicitation number
BPM005375
Issued by
Arizona

About this file

This is a Boycott of Israel Disclosure form for Solicitation No. BPM005375 issued by the State of Arizona Department of Corrections, Rehabilitation & Reentry Procurement Services for Electronic Payment Transaction Processing Services. The disclosure requires all offerors to certify their compliance status regarding boycotts of Israel in accordance with A.R.S. 35-393 et seq. Offerors must select one of three options: certify that the company does not participate in and agrees not to participate in a boycott of Israel during the contract term; acknowledge that the company does participate in a boycott of Israel; or indicate that the solicitation, contract, or contractor is exempt from the requirement based on estimated contract value of less than $100,000, sole proprietorship status, fewer than ten full-time employees, or non-profit organization classification.

JPay LLC, located at 3450 Lakeside Drive, Suite 100, Miramar, Florida 33027, submitted this disclosure form as the offeror. The authorized signatory is Alex Yeo, Chief Revenue and Product Officer, with contact information alex.yeo@aventiv.com and (734) 709-4013. The disclosure form requires the offeror's company name, authorized signature, complete address, printed name and title of the signatory, and contact details. Per A.R.S. 35-393.01, all public entities in Arizona are prohibited from entering into contracts unless the contract includes written certification of the contractor's non-participation in boycotts of Israel. The certification becomes a public record in accordance with A.A.C. R2-7-C317.

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Text version

Attachment 2: Boycott of Israel Disclosure

Solicitation No. BPM005375

Electronic Payment Transaction Processing Services

State of Arizona Department of Corrections, Rehabilitation & Reentry Procurement Services 701 E. Jefferson Street

Phoenix, AZ 85034

Attachment 2: Boycott of Israel Disclosure Rev. 4.2.2023

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.

5. "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

Address Printed name and title

City State Zip Email address Phone number

JPay LLC

3450 Lakeside Drive, Suite 100 Alex Yeo, Chief Revenue and Product Officer

Miramar, FL 33027 alex.yeo@aventiv.com (734) 709-4013

File details come from the government source that posted it. Updated .