CTR063924 SPO205 FY24.pdf
PDF 220 KB Posted
- Attached to
- Master Agreement AZ|CTR063924
- Contract number
- CTR063924
- Issued by
- Arizona
About this file
This document is an Arizona Department of Transportation (ADOT) attachment regarding the Forced Labor of Ethnic Uyghurs Ban, associated with Solicitation No. BPM. The document outlines a state-level requirement pursuant to A.R.S. § 35-394, which prohibits public entities in Arizona from entering or renewing contracts with companies that use forced labor of ethnic Uyghurs in the People's Republic of China. The specific company involved in this document is Senergy Petroleum, LLC., located in Gilbert, Arizona, which has completed this certification form.
The attachment requires companies with ten or more full-time employees to certify that they do not and will not use forced labor of ethnic Uyghurs, goods or services produced by such labor, or work with contractors, subcontractors, or suppliers engaged in such practices. In this specific instance, Senergy Petroleum, LLC. has checked the box confirming they do not use such labor and agrees to maintain this commitment throughout the contract term. The document was signed by Carlos Zubiate, a Contract Specialist, on July 20, 2023, and is part of the procurement process for a state contract.
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Text version
Solicitation No: BPM Available online at https://app.az.gov
SPO Form 205 (rev 09-2022)
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.
2.
"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.
"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.
Signature of Person Authorized to Sign
Carlos Zubiate Printed Name
Contract Specialist
Senergy Petroleum, LLC.
Company Name
1470 N. Horne St.
Address
Gilbert, AZ 85233
City State Zip Title
July 20, 2023
Date https://app.az.gov/
File details come from the government source that posted it. Updated .