SPO_Form_205_-_Forced_Labor_of_Ethnic_Uyghurs_Ban.pdf
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- Attached to
- Master Agreement AZ|CTR057887
- Contract number
- CTR057887
- 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, specifically related to A.R.S. § 35-394. The form is completed by Kimley-Horn and Associates, Inc., a company located in Phoenix, Arizona, certifying compliance with Arizona state regulations regarding contracts with companies that may use forced labor of ethnic Uyghurs in the People's Republic of China.
The document requires the company to certify that it does not use, and agrees not to use during the contract term, any forced labor of ethnic Uyghurs in China, any goods or services produced by such labor, or any contractors, subcontractors, or suppliers engaged in such practices. Kimley-Horn and Associates, Inc. has selected the option affirming they do not participate in such labor practices, with the form signed by Brian Smalkoski, Vice President, on June 15, 2023. The certification is a prerequisite for entering into or renewing a contract with a public entity in the state of Arizona.
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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.
Company Name Signature of Person Authorized to Sign
Address Printed Name
City State Zip Title
Date
Kimley-Horn and Associates, Inc.
7740 N 16th Street, Suite 300
Phoenix AZ 85020
Brian Smalkoski
Vice President
June 15, 2023
File details come from the government source that posted it. Updated .