BPM004541_-_Forced_Labor_of_Ethnic_Uyghurs_Ban_r1_09-22_signed__1_.pdf
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- Attached to
- Master Agreement AZ|CTR062462
- Contract number
- CTR062462
- Issued by
- Arizona
About this file
This document is a Forced Labor of Ethnic Uyghurs Ban form from the State of Arizona State Procurement Office, associated with Solicitation No. BPM004541 for Communications Cabling Systems. The form requires written certification from companies entering into contracts with public entities in Arizona to confirm they do not use forced labor of ethnic Uyghurs in the People's Republic of China. The specific company completing this document is Solutions i3, LLC, located in Oro Valley, Arizona, with Doug Stewart, CEO, as the authorized signatory.
The document is a compliance certification form under Arizona Revised Statutes § 35-394, applicable to for-profit organizations with ten or more full-time employees. Solutions i3, LLC has checked the box indicating they do not use forced labor of ethnic Uyghurs, any goods or services produced by such labor, or work with contractors, subcontractors, or suppliers engaged in such practices. The form provides exemptions for sole proprietorships, companies with fewer than ten employees, and non-profit organizations, though Solutions i3, LLC does not qualify for these exemptions.
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Other files
| File | Type | Posted |
|---|---|---|
| CTR062462_Amendment_1__Solutions_i3_Extension_.pdf | ||
| CTR062462_Contract_Documents.pdf | ||
| Certificate.pdf | ||
| BPM004541_Solicitation_Attachment_12_-_Pricing_Document__2_.docx | DOCX document |
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Text version
Forced Labor of Ethnic Uyghurs Ban State of Arizona
State Procurement Office 100 N 15th Avenue, Ste 350
Phoenix, AZ 85007 Solicitation No.: BPM004541
PAGE
Description: Communications Cabling Systems
OF
SPO Form 205 – Forced Labor of Ethnic Uyghurs Ban | Revision No. 1 | Revised 09-22
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
Solutions i3, LLC
12112 N Rancho Vistoso Blvd, Suites 150-116 Doug Stewart, CEO
Oro Valley AZ 85755 dougs@solutionsi3.com (520) 352-2627 x1001 x
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