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 Attachment I, a Provision of Commodities Produced by Forced Labor certification form for Invitation to Negotiate (ITN) No. 25-84131500-ITN issued by the Florida Department of Management Services. The form is a mandatory certification required by Florida Statutes section 287.1346(4)(b), which must be completed by a senior management member when submitting a response to a solicitation for commodities or before entering into a contract. The certification requires the company to affirm that the commodities offered have not been produced, in whole or in part, by forced labor.

The form provides blank fields for the entity name, senior management's printed name, title, signature, and date. It is designed to ensure transparency and ethical sourcing by requiring companies to self-certify the labor conditions under which their commodities are produced. The certification is part of a broader effort to prevent the procurement of goods potentially manufactured through exploitative labor practices, aligning with Florida's statutory requirements for government contracting.

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25-84131500-ITN DFS BOR Attachment C Revised Technical Response.docx DOCX document
25-84131500-ITN DFS BOR Attachment E TCs.pdf PDF
25-84131500-ITN DFS BOR Attachment K Property Certificates.pdf PDF
25-84131500-ITN DFS BOR Attachment S No prior involvement.pdf PDF
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_DFS BOR Q&A Addendum No. 1.pdf PDF
25-84131500-ITN DFS BOR Attachment G PUR 7801.docx DOCX document
25-84131500-ITN DFS BOR Attachment C Technical Response.docx DOCX document
25-84131500-ITN DFS BOR Attachment I PUR 2023.pdf PDF
25-84131500-ITN DFS BOR Attachment D Fee Schedule Cost Proposal.pdf PDF
25-84131500-ITN DFS BOR Attachment J Cert of DFWorkplace.pdf PDF
25-84131500-ITN DFS BOR Attachment Q PUR 2024 Coercion Labor Services.pdf PDF
25-84131500-ITN DFS BOR Attachment X SRMTF Participating Agencies and Universities.pdf PDF
25-84131500-ITN DFS BOR Attachment R Notice of Conflict.pdf PDF
25-84131500-ITN DFS BOR Attachment B Mandatory Resp Requirements.pdf PDF
25-84131500-ITN DFS BOR Attachment L SOF 2025 Property Quilt.pdf PDF
25-84131500-ITN DFS BOR Attachment H Draft Contract.pdf PDF
25-84131500-ITN DFS BOR Attachment P Reference Form.pdf PDF
25-84131500-ITN DFS BOR Attachment N OOS WC Policy_Redacted.pdf PDF
25-84131500-ITN DFS BOR Attachment W Loss Detail.pdf PDF
25-84131500-ITN DFS BOR Attachment V Excess Policies 2025-2026 C.pdf PDF
25-84131500-ITN DFS BOR Attachment M Casualty Certificates of Coverage.pdf PDF
25-84131500-ITN DFS BOR Attachment T Broker Report FY 2425.xlsx XLSX spreadsheet
25-84131500-ITN DFS BOR Attachment O Broker Information.pdf PDF
25-84131500-ITN DFS BOR Attachment F PUR 1000 General Contract Conditions.pdf PDF
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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: _________________

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