Exhibit D.pdf

This document is Attachment D from the Arizona Department of Health Services, specifically an Invitation for Bid (No. BPM006684) related to Radiation Equipment Maintenance, Repair and Calibration. The document is a certification form concerning participation in boycotts of Israel, required under Arizona Revised Statutes (A.R.S.) § 35-393.01, which mandates that public entities obtain written certification from contractors regarding boycott activities.

The bid document provides exemption options for solicitations, contracts, or contractors meeting certain criteria, such as having an estimated contract value under $100,000, being a sole proprietorship, having fewer than ten employees, or being a non-profit organization. In this specific case, the form is completed by RSE Electronics Inc., located in Towaco, NJ, and involves an exemption from boycott participation. The form requires the company to certify that it is not currently engaged in, and will not engage in, a boycott of goods or services from Israel during the contract term, in compliance with state procurement regulations.