CTR059512_Contract_Amendment_Summary_One__1_.pdf

ARIZONA DEPARTMENT OF TRANSPORTATION

1739 W. Jackson Street, MD 100P

Phoenix, AZ 85007 602.712.7211

Contract Amendment Summary CONTRACTOR: Brewer Cote of Arizona AMENDMENT NO.: One (1)

DESCRIPTION: Concrete Cold Patch Materials

Rev. 04/2020

Procurement

Pursuant to the Uniform Terms and Conditions, Section 5, Contract Changes, the above referenced contract is amended. Summary of changes is as follows:

1. The contract is hereby mutually extended from April 1, 2023 to March 31, 2024 unless terminated, canceled or extended as otherwise provided in the contract.

2. In accordance with Arizona Revised Statutes Section § 35-394, the Forced Labor of Ethnic Uyghurs Ban certification (attached) is hereby added to the contract.

3. All other terms, conditions and provisions of this contract remain unchanged.

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ADOI ATTACHMENT j[nte, 1\tlalhment No.]

Procurement FORCED LABOR OF ETHNIC UYGHURS BAN

Forced Labor of Ethnic Uyghurs Ban

Please note that i( any or the followfng apply to the Contractor, then the Offeror shall _select the "Exempt Contractor" option below:

• Contractor Is a i;ole proprietorship;

• Contractor has fewer th•n lt,n 110) employees; QR

• ContractOr ,J a n·on-prolit org;inizatlon.

Pursuant to A,R.�. § 35-394, the State of Arizona prohibits. a public entity from entering into or renewing a contract with a company unless the tpntract 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 Cbina.

Undet A.R.S. §35-3911.:

L 'Company• meaM .;n organlratio�. assocranon, corporation, partnership, [olnr- venrure, limited partner<;hip, l,m,lild liabilitV 11arrnersh1p, rrmllEd llablfitv comp,1nv or other entitY or bu;iness association. Including a wholly owned _sub�idlary, ma/ofllv· owned \ubsltflary, �rent company or affiliate, that engages In for-profit "1:1ivllv •"d that has ten or m.ore lull time employee.,:

l. "Public entity" means this State, ;_political sobctim:on or this Srnt<> or an agell(y, board, romm&Sion or depa<tment of lhf< State or a oolmcal _subdivision ol this State.

In c.ompliance with "f-5· §§ 35-394 et seq., -all offorors must select one of the following:

The Company •.ubmining this Otter doei not usi,, and agrees not Lo us,e during thi, term of the contract, anv of LIie following:

Foned labor of ethnic UVghurs'" the Pwp1e·s Republic DI China;

AnJ goods or servi= produced by the farcedlabor of ethnic Uyghurs In Ute P·eople'> Republic ofChina. or

• Any Q!mracion, Subcontractors, or suppliers that use Lhe rorred labor or;my goods or :.ervl� produ-ce,fby the fo(wd labor of ethnic uvs.hurs In the Peoplr's RepuMc of China

0 The COmP<1ny rubmitting this Offer does pa, tlclpale In use of Forced Uyghurs Labor as described In A.R.S. § 35·394, Exempt Contractor.

lnd,cate which of thecfollowing statements apphes to this Contractor (may be more lhan one).

0 Contra 01 Is a .ale proprietorship, tf4 Contracto1 bas rewer than ten ( 10) nmployees; and/or rJ Contraclor is a non-profit organ:zation.

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