CTR054976_SPO_Form_205_Forced_Labor_of_Ethnic_Uyghurs_Ban.pdf
PDF 577 KB Posted
- Attached to
- Master Agreement AZ|CTR054976
- Contract number
- CTR054976
- Issued by
- Arizona
About this file
This document is a Forced Labor of Ethnic Uyghurs Ban form from the Arizona Department of Transportation (ADOT) Procurement division, applicable to state public entities in Arizona. The form implements A.R.S. § 35-394, which requires companies seeking to contract with public entities to certify that they do not use forced labor of ethnic Uyghurs in the People's Republic of China. In this specific instance, the document is completed by Weissenborn Appraisal, LLC, located in Tucson, Arizona, who has qualified as an "Exempt Contractor" due to having fewer than ten employees.
The form does not detail a specific contract, goods, or services, but instead serves as a mandatory certification requirement for potential contractors. Companies must attest that they do not use forced labor of ethnic Uyghurs, goods produced by such labor, or engage subcontractors or suppliers that utilize such labor. The document provides an exemption for sole proprietorships, companies with fewer than ten employees, and non-profit organizations. Weissenborn Appraisal, LLC has marked themselves as exempt under the "fewer than ten employees" criteria, with the owner Beverly Weissenborn signing the document.
View the file
Other files
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;
xx☐ Contractor has fewer than ten (10) employees; and/or
☐ Contractor is a non-profit organization.
Weissenborn Appraisal, LLC
Company Name Signature of Person Authorized to Sign
P.O. Box 86805
Beverly Weissenborn Address Printed Name
Tucson, AZ 85754
Owner
City State Zip Title https://app.az.gov/
File details come from the government source that posted it. Updated .