CTR063144 SPO Form 205 FY24.docx
DOCX document 53 KB Posted
- Attached to
- Master Agreement AZ|CTR063144
- Contract number
- CTR063144
- Issued by
- Arizona
About this file
This document is a State of Arizona Procurement Form (SPO Form 205) related to a compliance certification for Mansfield Oil Company of Gainesville, Inc., specifically addressing requirements under A.R.S. 35-394 concerning forced labor restrictions. The form involves the State of Arizona's public entity procurement regulations and focuses on preventing business transactions involving forced labor of ethnic Uyghurs in the People's Republic of China.
The document requires vendors to certify they do not use forced labor of ethnic Uyghurs or goods/services produced through such labor. Mansfield Oil Company, represented by Dan Luther (VP of Government Sales), has completed the form on 7/20/2023, indicating compliance with the state's procurement requirements. The specific solicitation number is BPM, though detailed contract specifics about goods, services, pricing, or contract duration are not provided in this particular document. The certification is part of the state's broader effort to ensure ethical procurement practices by excluding vendors potentially engaged in human rights violations.
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Text version
Procurement
ATTACHMENT
FORCED LABOR OF ETHNIC UYGHURS BAN
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. |
Mansfield Oil Company of Gainesville, Inc.
Dan Luther
Company Name
Signature of Person Authorized to Sign
1025 Airport Parkway
Dan Luther
Address
Printed Name
Gainesville, GA 30501
VP, Government Sales
| City |
| State |
| Zip |
Title
7/20/2023
Date
| Solicitation No: BPM |
| Available online at |
https://app.az.gov
SPO Form 205 (rev 09-2022) image1.jpeg
File details come from the government source that posted it. Updated .