SPO_Form_205A_-_Annual_Forced_Labor_of_Ethnic_Uyghurs_Ban_2022_11__RRD___1_.pdf
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- Attached to
- Master Agreement AZ|CTR065087
- Contract number
- CTR065087
- Issued by
- Arizona
About this file
This document is an Annual Forced Labor of Ethnic Uyghurs Ban Certification for Off-Contract Purchases, issued by the Arizona Department of Transportation (ADOT) Procurement division. The form is designed to comply with Arizona Revised Statutes § 35-394, requiring companies contracting with public entities to certify they do not use forced labor of ethnic Uyghurs in the People's Republic of China. The specific certification is for RR Donnelley, located at 35 W Wacker in Chicago, Illinois, and is signed by Dave Morrison on 2/6/2024, valid until the end of the current fiscal year (June 30).
The certification requires the company to affirm that it does not use forced labor of ethnic Uyghurs, does not use goods or services produced by such labor, and does not engage with contractors, subcontractors, or suppliers that do so. The form provides options for exemption for sole proprietorships, companies with fewer than ten employees, and non-profit organizations. It is intended to cover multiple off-contract purchases from the same supplier throughout a fiscal year, with the requirement that a copy of the current year's certification must be included with each purchase order's documentation.
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Procurement
Annual Forced Labor of Ethnic Uyghurs Ban Certification for Off-Contract Purchases
SPO Form 205A – Annual Forced Labor of Ethnic Uyghurs Ban Certification | Revision No. 1 | Revised 11-22
Pursuant to A.R.S. § 35-394, written certification is required to show that the company entering into a contract with a public entity 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.
The purpose of this certification is to cover instances in which state agencies have multiple off-contract purchases from the same supplier over the course of a single fiscal year. Instead of asking suppliers to sign a certification each time there is an off-contract purchase, this form may be signed once, but cover the whole fiscal year. To comply with this law, a copy of the current year’s certification must be included with the documentation for each off-contract purchase with the Purchase Order Terms and Conditions. To remain compliant with the law, this form must be completed by the supplier prior to each fiscal year.
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.
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 in the People’s Republic of China 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.
Certification is valid until the end of the current fiscal year (June 30) after the date of signature.
RR DONNELLEY
Company Name Signature of Person Authorized to Sign
35 W WACKER
DAVE MORRISON
Address Printed Name and Title
CHICAGO IL 60601
DAVE.MORRISON@RRD.COM
City State Zip Contact Email Address 2/6/2024
602-369-3103
Date Contact Phone Number
File details come from the government source that posted it. Updated .