SPO_Form_205_-_Forced_Labor_of_Ethnic_Uyghurs_Ban_-_CTC___Associates_-_Signed.pdf
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- Attached to
- Master Agreement AZ|CTR057382
- Contract number
- CTR057382
- Issued by
- Arizona
About this file
This document is a Forced Labor of Ethnic Uyghurs Ban certification form from the Arizona Department of Transportation (ADOT) Procurement division. The form pertains to Arizona Revised Statute § 35-394, which prohibits public entities in the state from entering or renewing contracts with companies that use forced labor of ethnic Uyghurs in the People's Republic of China. The specific company completing this form is CTC & Associates LLC, located in Lincoln, Nebraska, and the document was signed on July 27, 2023 by Brian G. Hirt, the Principal and CEO.
The form requires the company to certify compliance by selecting one of three options: affirming no use of forced Uyghur labor, acknowledging participation in such labor, or qualifying as an exempt contractor (such as having fewer than 10 employees or being a non-profit). In this instance, CTC & Associates LLC has checked the box confirming they do not use forced labor of ethnic Uyghurs, do not use goods or services produced by such labor, and agree not to use contractors, subcontractors, or suppliers engaged in such practices during the contract term. The document is to be made available online at https://app.az.gov and uses a standardized state procurement form (SPO Form 205, revised 09-2022).
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Text version
Procurement
FORCED LABOR OF ETHNIC UYGHURS BAN
Contract No: 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.
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.
CTC & Associates LLC Company Name Signature of Person Authorized to Sign
2323 Woodscrest Ave.
Brian G. Hirt Address Printed Name
Lincoln, Nebraska 68502
Principal and CEO City State Zip Title
July 27, 2023
Date https://app.az.gov/
Forced Labor of Ethnic Uyghurs Ban
| 2023-07-27T10:58:05-0500 | |
| Brian G. Hirt |
File details come from the government source that posted it. Updated .