Mansfield SPO Form 205 - Forced Labor of Ethnic Uyghurs Ban_signed.pdf

PDF 210 KB Posted

Attached to
Master Agreement AZ|CTR063144
Contract number
CTR063144
Issued by
Arizona

About this file

This document is an Arizona Department of Transportation (ADOT) Procurement attachment regarding the Forced Labor of Ethnic Uyghurs Ban, which implements Arizona Revised Statutes § 35-394. The document applies to companies doing business with the State of Arizona, its political subdivisions, or state agencies, specifically targeting contractual compliance related to labor practices involving ethnic Uyghurs in the People's Republic of China. In this specific instance, Mansfield Oil Company of Gainesville, Inc. from Georgia is the contractor completing the certification.

The attachment requires companies with ten or more full-time employees to certify that they do not use forced labor of ethnic Uyghurs, nor procure goods or services produced by such labor. Mansfield Oil Company has selected the option affirming they do not use and will not use forced labor of ethnic Uyghurs during the contract term, including through any contractors, subcontractors, or suppliers. The document provides exemptions for sole proprietorships, companies with fewer than ten employees, and non-profit organizations. The certification is a mandatory requirement for entering into or renewing public contracts with the State of Arizona.

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Text version

Procurement

ATTACHMENT [Enter Attachment No.]

FORCED LABOR OF ETHNIC UYGHURS BAN

Solicitation No: BPM Available online at https://app.az.gov

SPO Form 205 (rev 09-2022)

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.

(a) Based in part on the fact that the entity does business in Israel or in territories controlled by Israel.

(b) In a manner that discriminates on the basis of nationality, national origin or religion and that is not based on a valid business reason.

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.

Company Name Signature of Person Authorized to Sign

Address Printed Name

City State Zip Title

Mansfield Oil Company of Gainesville, Inc

1025 Airport Parkway SW

Gainesville Georiga 30501

Dan Luther

VP, Government Sales https://app.az.gov/

Forced Labor of Ethnic Uyghurs Ban

File details come from the government source that posted it. Updated .