Attachment_2_-__Boycott_of_Israel_Disclosure_Form.docx
DOCX document 55 KB Posted
- Attached to
- Master Agreement AZ|CTR074232
- Contract number
- CTR074232
- Issued by
- Arizona
About this file
The document is a Boycott of Israel Disclosure Form associated with Request for Proposal Solicitation No. BPM006379 from the Arizona Department of Environmental Quality (ADEQ), located in Phoenix, Arizona. The form is specifically related to a certification requirement for public entities and contractors, mandated by Arizona Revised Statutes (A.R.S.) 35-393.01, which prohibits entering into contracts without a written certification regarding business activities with Israel. In this specific instance, the form is completed by Tata & Howard, Inc., a company based in Goodyear, Arizona, with contact information for Karen L. Gracey, Co-President.
The solicitation appears to be for Capacity Development/Technical Assistance to Small Public Drinking Water Systems, with specific compliance requirements regarding commercial relations with Israeli entities. The document outlines exemption criteria for contracts under $100,000, sole proprietorships, companies with fewer than 10 employees, or non-profit organizations. Contractors must certify whether they participate in or abstain from boycotts of Israel, with implications for contract eligibility. The form provides a mechanism for companies to declare their stance on doing business with Israeli entities, serving as a legal disclosure and commitment document for the proposed contract with the Arizona Department of Environmental Quality.
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Text version
Request for Proposal
Solicitation No. BPM006379
Capacity Development/Technical Assistance to Small Public Drinking Water Systems Arizona Department of Environmental Quality (ADEQ) 1110 W. Washington Street Phoenix, AZ 85007
Attachment 2 – Boycott of Israel Disclosure
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; 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 Materials 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.; or |
| ☐ |
| Exempt Solicitation, Contract, or Contractor. Indicate which of the following statements applies to this Contract (may be more than one): |
| ☐ |
| Solicitation or Contract has an estimated value of less than $100,000; |
| ☐ |
| Contractor is a sole proprietorship; |
| ☐ |
| Contractor has fewer than ten (10) employees; or |
| ☐ |
| Contractor is a non-profit organization. |
Tata & Howard, Inc.
Company name
Signature of person authorized to sign
P.O. Box 445, 500 N Estrella Parkway, Suite 2B
Karen L. Gracey, Co-President
Address
Printed name and Title
Goodyear, AZ 85538 kgracey@tataandhoward.com 508-219-4021
City, State, ZIP
| Contact email address |
| Contact phone number |
Solicitation Attachment – Boycott of Israel Disclosure | Revision No. 2 | Revised 11-22 image1.png image2.jpg
File details come from the government source that posted it. Updated .