Senergy SPO Form 205 - Forced Labor of Ethnic Uyghurs Ban.pdf
PDF 243 KB Posted
- Attached to
- Master Agreement AZ|CTR063147
- Contract number
- CTR063147
- Issued by
- Arizona
About this file
The document is a Forced Labor of Ethnic Uyghurs Ban attachment from the Arizona Department of Transportation (ADOT) Procurement division, related to state procurement regulations. It pertains to the State of Arizona's legal requirement (A.R.S. § 35-394) for public entities to obtain written certification from companies that they do not use forced labor of ethnic Uyghurs in the People's Republic of China. The specific company completing this document is Senergy Petroleum LLC, located in Phoenix, Arizona.
The attachment requires companies with ten or more full-time employees to certify that they do not use forced labor of ethnic Uyghurs, goods or services produced by such labor, or work with contractors, subcontractors, or suppliers that engage in such practices. In this instance, Senergy Petroleum LLC has checked the box affirming they do not use such labor and agree not to do so during the contract term. The document is part of a solicitation process (Solicitation No: BPM) and is available online at https://app.az.gov, with the company representative Carlos Zubiate, a Contract Specialist, signing the certification.
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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.
Senergy Petroleum LLC
Company Name Signature of Person Authorized to Sign
622 S. 56th Avenue
Carlos Zubiate Address Printed Name
Phoenix Arizona 85043
Contract Specialist City State Zip Title https://app.az.gov/
Forced Labor of Ethnic Uyghurs Ban
File details come from the government source that posted it. Updated .