Attachment 3-E Forced Labor of Ethnic Uyghurs Ban Updated.pdf

290 KB Posted

Attached to
Master Agreement AZ|CTR077259
Contract number
CTR077259
Issued by
Arizona

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This document is an Offer Form for a Request for Proposal (Solicitation No. BPM006769) issued by the State of Arizona's Department of Child Safety, specifically the Office of Procurement & Contracts located in Phoenix, Arizona. The form is specifically Attachment 3-E, focused on a Forced Labor of Ethnic Uyghurs Ban certification, which requires companies contracting with public entities to confirm they do not use forced labor of ethnic Uyghurs in the People's Republic of China.

The document is completed by Happy Home Living LLC, a company located in Gilbert, Arizona, with James Fields serving as the Administrator. The form requires the company to certify that they do not use forced labor of ethnic Uyghurs, goods or services produced by such labor, or work with contractors, subcontractors, or suppliers engaged in such practices. The certification is specific to companies with ten or more full-time employees, with exemptions for sole proprietorships, companies with fewer than ten employees, and non-profit organizations. The document is part of a solicitation for Parenting Time Services and requires the company to explicitly state their compliance with Arizona Revised Statutes § 35-394.

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Offer Forms Request for Proposal

Solicitation No. BPM006769 Parenting Time Services

State of Arizona Department of Child Safety

Office of Procurement & Contracts 3003 N. Central Avenue, 20th Floor

Phoenix, AZ 85012

Solicitation Instructions Part 2

SECTION 2-D: Offer Forms, Attachment 4

A v a i l a b l e o n l i n e a t : A P P . A Z . g o v

Attachment 3-E 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

Happy Home Living LLC

543 E Bridgeport Pkwy

Gilbert, AZ 85295

James Fields Administrator james.fields@happyhomelivingllc.com 414-732-7408 https://procure.az.gov/bso/

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