25-84131500-ITN DFS BOR Attachment I PUR 2023.pdf
PDF 117 KB Posted
- Attached to
- Insurance Broker of Record - Reinsurance Broker for Property and Casualty lines, Risk Management and
- Solicitation number
- ITN-13124
- Issued by
- St. Johns County, Florida
About this file
This document is an Invitation to Negotiate (ITN) Attachment I form related to the Florida Department of Financial Services (DFS) for the Provision of Commodities Produced by Forced Labor in 2023. The form is specifically governed by section 287.1346(4)(b) of Florida Statutes and requires completion by a senior management member when submitting a response to a solicitation for commodity provision or before entering/renewing a contract. The form mandates that the entity certify that, to the best of their knowledge, the commodities being offered have not been produced, in whole or in part, by forced labor.
The document is a standardized certification template with blank fields for the entity name, senior management's printed name, title, signature, and date. Its primary purpose is to ensure compliance with Florida's legal requirements regarding ethical sourcing and labor practices, specifically targeting the prevention of commodities produced through forced labor from being procured by state departments. The form serves as a legal attestation that bidding entities are acknowledging and affirming their commitment to avoiding goods manufactured under exploitative labor conditions.
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Text version
ITN No.: 25-84131500-ITN
ITN No.: 25-84131500-ITN
Attachment I
PUR 2023
Provision of Commodities Produced by Forced Labor
Pursuant to section 287.1346(4)(b), Florida Statutes, this written certification must be completed by a member of the company’s senior management, as defined in section 287.1346, F.S., when the company submits a response to a solicitation for the provision of commodities and before the company enters into or renews a contract for the provision of commodities.
I certify that to the best of my knowledge, the commodities offered to the Department by the entity named below have not been produced, in whole or in part, by forced labor.
Entity Name: __________________________________
Senior Management’s Printed Name: ________________________________
Senior Management Member’s Title: ________________________________
Signature: __________________________________ Date: _________________
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