Attachment E Uyghur Ban Form.pdf

This is an Attachment E Uyghur Ban Form document for the Arizona Department of Health Services (ADHS), specifically the Arizona State Hospital (ASH), in connection with a competitive procurement for pest control services under Arizona Revised Statute 41-2533. The solicitation seeks qualified suppliers to provide comprehensive, all-inclusive pest control services for the hospital facility. The scope of work encompasses all necessary components for effective pest management, including chemicals, materials, equipment, services, labor, travel expenses, insurances, and workers' compensation fees. Proposals were due by March 18, 2025, with the solicitation posted on March 4, 2025. The procurement is structured as a competitive bid process requiring vendors to submit comprehensive proposals demonstrating their capability to deliver thorough and effective pest control services for the entire hospital facility.

The Uyghur Ban Form serves as a compliance certification document requiring bidders to attest that they do not use forced labor or materials sourced from the Xinjiang region in violation of the Uyghur Forced Labor Prevention Act. This attachment is mandatory for all vendors participating in the procurement and functions as a prerequisite certification to establish bidder eligibility. The form ensures that all contractors meet federal compliance requirements regarding labor practices and supply chain sourcing before award consideration. No specific budget range, incumbent vendor information, set-aside designations, or disadvantaged enterprise requirements are detailed in the available documentation. Interested suppliers must complete and submit this compliance form along with their technical and pricing proposals to be considered for contract award.