CTR054966_SPO_Form_205_Forced_Labor_of_Ethnic_Uyghurs_Ban.pdf

PDF 172 KB Posted

Attached to
Master Agreement AZ|CTR054966
Contract number
CTR054966
Issued by
Arizona

About this file

This document is a Forced Labor of Ethnic Uyghurs Ban certification form from the Arizona Department of Transportation (ADOT) Procurement division. The form is related to Arizona Revised Statutes (A.R.S.) § 35-394, which prohibits public entities in Arizona from entering into or renewing contracts with companies that use forced labor of ethnic Uyghurs in the People's Republic of China. The specific document is completed by First Appraisal Services, PLC, located in Phoenix, Arizona, and is part of a solicitation process with the solicitation number BPM.

The document requires the company to certify that it does not and will not use forced labor of ethnic Uyghurs, goods or services produced by such labor, or work with contractors, subcontractors, or suppliers that engage in such practices. The form provides exemptions for sole proprietorships, companies with fewer than ten employees, and non-profit organizations. In this case, First Appraisal Services, PLC has checked the box affirming compliance with the labor restrictions, with Timothy A. Haskins, the owner, signing the document to validate the company's commitment to these terms.

View the file

Other files

Show all 16

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Procurement

FORCED LABOR OF ETHNIC UYGHURS BAN

Solicitation No: BPM Available online at https://app.az.gov

SPO Form 205 (rev 09-2022)

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, the State of Arizona prohibits a public entity from entering into or renewing a contract with a company unless the contract includes written certification that the company 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 this 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

City State Zip Title

First Appraisal Services, PLC

3420 E. Shea Boulevard, Suite 200

Phoenix, Arizona 85028

Timothy A. Haskins

Owner

File details come from the government source that posted it. Updated .