25-84131500-ITN DFS BOR Attachment Q PUR 2024 Coercion Labor Services.pdf
PDF 105 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 Q from the Florida Department of Financial Services (DFS) regarding compliance with labor and services coercion regulations for potential government contractors. The form is designed as an affidavit that must be completed by a nongovernmental entity's officer or representative when executing, renewing, or extending a contract with a governmental entity, specifically addressing compliance with section 787.06(13) of Florida Statutes.
The attachment requires the contractor to affirm under penalties of perjury that they do not use coercion for labor or services as defined in the referenced Florida statute. The form provides blank spaces for the entity name, representative/officer's printed name and title, signature, and date of execution. This document appears to be a standard compliance form (Attachment Q) for the 2024 Procurement (PUR) cycle, with the specific ITN number 25-84131500-ITN, intended to prevent labor exploitation in government contracts.
View the file
Other files
Show all 26
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
ITN No.: 25-84131500-ITN
ITN No.: 25-84131500-ITN
Attachment Q
PUR 2024
Use of Coercion for Labor and Services
Pursuant to section 787.06(13), Florida Statutes, this affidavit must be completed by an officer or representative of the nongovernmental entity executing, renewing, or extending a contract with a governmental entity.
The entity named below does not use coercion for labor or services as defined in section 787.06, Florida Statutes.
Under penalties of perjury, I declare that I have read the foregoing statement and that the facts stated in it are true.
Entity Name: ____________________________________
Representative/Officer’s Printed Name: _________________________________
Representative/Officer’s Title: ___________________________________
Signature: ___________________________________ Date: _____________________
File details come from the government source that posted it. Updated .