CTR065018_Contract_Amendment_Summary_Two__2_.pdf

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Attached to
Master Agreement AZ|CTR065018
Contract number
CTR065018
Issued by
Arizona

About this file

This document is a Contract Amendment Summary from the Arizona Department of Transportation (ADOT) for a contract with ACE Surface Maintenance Inc., specifically for Parking Lot Sweeping in Region 7. The amendment is numbered Two (2) and involves extending the existing contract and including a mandatory Forced Labor of Ethnic Uyghurs Ban form as required by Arizona Revised Statutes.

The amendment mutually extends the contract period from March 21, 2024, through March 20, 2025, with the option to terminate, cancel, or further extend as provided in the original contract terms. The contractor, ACE Surface Maintenance Inc., has certified that they do not use forced labor of ethnic Uyghurs in the People's Republic of China, nor do they use goods or services produced by such labor. No changes are made to other terms, conditions, or provisions of the original contract. The amendment was signed on 10/24/23 and includes the company's address at 3418 N. 29th Ave, Phoenix, AZ 85017.

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ARIZONA DEPARTMENT OF TRANSPORTATION

1655 W. Jackson Street, MD 100P

Phoenix, AZ 85007

Contract Amendment Summary CONTRACTOR: ACE Surface Maintenance Inc. AMENDMENT NO.: Two (2) DESCRIPTION: Parking Lot Sweeping‐ Region 7

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. Amendment Two (2) is to mutually extend this contract from March 21, 2024 through March 20, 2025 unless terminated, canceled or extended as otherwise provided in the contract.

2. The executed SPO205 Forced Labor of Ethnic Uyghurs Ban form is hereby included with this amendment.

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

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:

o Contractor is a sole proprietorship;

o Cont.ractor has fewer than ten (1()) employees; OR

• Contractor is a non -profit organization.

Pursuant to AeRS„ 35894, 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 Peoplets Republic of China.

Under A-R.S. 535-394:

I. UCompanyn 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 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 Stete or a political subdivision of this State.

In compliance with AMRS. SS 35094 et seq., all offerors must select of the following:

The Company submitting this Offer does not use, and agrees not to use during the term of t.he 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 dggs participate in use of Forced Uyghurs Labor as described in A-R.S. 5 35-394.

Exempt Contractor.

Indicate which of the following statements applies to this Contrac'tor (may be more than one):

IZI Contractor is a sole proprietorship;

C] Cont.ract.or has fewer than ten (10) employees; and/or

Cont.ract.or is a organization*

Cornpany Name

City

Address

State Zip

Available ()nline at ov

Signature of Person A tzed to Sign

Printed Name

Date

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