SPO_Form_205_-_Forced_Labor_of_Ethnic_Uyghurs_Ban.pdf

PDF 238 KB Posted

Attached to
Master Agreement AZ|CTR057886
Contract number
CTR057886
Issued by
Arizona

About this file

This document is an Arizona Department of Transportation (ADOT) Procurement form titled "Forced Labor of Ethnic Uyghurs Ban," which requires certification from companies seeking to enter or renew contracts with public entities in the state of Arizona. The form implements Arizona Revised Statutes (A.R.S.) § 35-394, mandating that companies with ten or more full-time employees certify they do not use forced labor of ethnic Uyghurs in the People's Republic of China. In this specific instance, High Street Consulting Group LLC, located in Pittsburgh, PA, has completed the form on 8/15/2023, certifying compliance with the state's requirements.

The document does not detail specific goods, services, or contract terms, but instead serves as a mandatory compliance certification for potential contractors. The form requires companies to affirmatively state that they do not use forced labor of ethnic Uyghurs, do not use goods or services produced by such labor, and do not engage contractors, subcontractors, or suppliers that utilize such labor. Companies meeting certain exemption criteria (sole proprietorships, fewer than 10 employees, or non-profit organizations) may be excluded from this requirement. The form is part of Arizona's broader procurement policy to prevent potential human rights violations in supply chains.

View the file

Other files

Show all 14

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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.

High Street Consulting Group LLC

Company Name Signature of Person Authorized to Sign

6937 Blenheim Ct

Karin DeMoors Address Printed Name

Pittsburgh PA 15208

Partner City State Zip Title

8/15/2023

Date https://app.az.gov/

Forced Labor of Ethnic Uyghurs Ban

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