Attachment_D_-_Boycott_of_Israel_Disclosure_-_signed.pdf
PDF 419 KB Posted
- Solicitation number
- BPM006675
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This is a Boycott of Israel Disclosure form submitted by Kaigan, LLC dba Pestmaster Services in response to Arizona Department of Health Services' Invitation for Bid BPM006675 for pest control services at the Arizona State Hospital. The solicitation, posted on March 4, 2025, with proposals due March 18, 2025, requires qualified suppliers to provide comprehensive pest control services on an all-inclusive basis covering chemicals, materials, equipment, services, labor, travel expenses, insurance, workers' compensation fees, profit margins, and overhead costs. The procurement was conducted in accordance with Arizona Revised Statute 41-2533 et seq. as a competitive bidding process.
Pestmaster Services, located at 9716 South Virginia Street, Suite E-F, Reno, Nevada 89511, submitted its disclosure certification in compliance with Arizona Revised Statute 35-393 et seq., affirming that the company does not participate in and agrees not to participate in a boycott of Israel during the contract term. The document was electronically signed by Brian Wilk, Contracts Manager, on March 18, 2025, at 3:17 PM GMT. As the estimated contract value exceeds $100,000 and the contractor has ten or more full-time employees, the company was required to complete this certification rather than claim an exemption.
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Text version
ATTACHMENT D
BOYCOTT OF ISRAEL DISCLOSURE ARIZONA DEPARTMENT
OF HEALTH SERVICES
150 N. 18th Avenue, Suite 530
Phoenix, Arizona 85007
Procurement Officer Brandon Durick
INVITATION FOR BID
BPM006675
PEST CONTROL SERVICES
AT THE ARIZONA STATE HOSPITAL
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.
Company name Signature of person authorized to sign
Address Printed name and Title
City, State, ZIP Contact email address Contact phone number
Kaigan, LLC dba Pestmaster Services
9716 South Virginia Street, Ste E-F
Reno, NV 89511 contracts@pestmaster.com (775) 437-1951
Brian Wilk, Contracts Manager
Brian Wilk (Mar 18, 2025 10:17 CDT)
Pestmaster Services Highlight https://na4.documents.adobe.com/verifier?tx=CBJCHBCAABAAwGEA0FVebkG6zzvR7U7fFaulvdvgOUn3
Attachment D - Boycott of Israel Disclosure Final Audit Report 2025-03-18
Created: 2025-03-18
By: Brian Wilk (bwilk@pestmaster.com)
Status: Signed
Transaction ID: CBJCHBCAABAAwGEA0FVebkG6zzvR7U7fFaulvdvgOUn3
"Attachment D - Boycott of Israel Disclosure" History Document created by Brian Wilk (bwilk@pestmaster.com)
2025-03-18 - 12:53:09 PM GMT
Document emailed to Brian Wilk (bwilk@pestmaster.com) for signature
2025-03-18 - 12:53:13 PM GMT
Email viewed by Brian Wilk (bwilk@pestmaster.com)
2025-03-18 - 12:53:30 PM GMT
Document e-signed by Brian Wilk (bwilk@pestmaster.com) Signature Date: 2025-03-18 - 3:17:59 PM GMT - Time Source: server
Agreement completed.
2025-03-18 - 3:17:59 PM GMT
| 2025-03-18T15:18:01+0000 | |
| Certified by Adobe Acrobat Sign |
File details come from the government source that posted it. Updated .