Attachment E_PUR 2024_Coerced Labor.pdf
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- Attached to
- Managed Information Technology Services
- Solicitation number
- RFP-12281
- Issued by
- Polk County, Florida
About this file
This document is a state contract compliance form (Attachment E) for the PUR 2024 procurement process in Florida, requiring certification by nongovernmental entities regarding labor practices. The form is divided into two parts: Part A addresses the use of coercion for labor and services, and Part B addresses the provision of commodities produced by forced labor. Both sections require an authorized representative or senior management member to complete and sign the document, declaring under penalties of perjury that the entity does not engage in coercive labor practices and that any commodities offered have not been produced through forced labor.
The form is specifically designed to ensure compliance with Florida Statutes sections 787.06(13) and 287.1346(4)(b), which mandate that entities seeking to contract with governmental bodies provide affirmative statements about their labor practices. While no specific contract details, pricing, or project specifics are included in this document, it serves as a critical legal attestation that must be completed before entering into, renewing, or extending a contract with a governmental entity in Florida, focusing on preventing human trafficking and forced labor in government procurement processes.
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Attachment E
PUR 2024
Part A: Use of Coercion for Labor and Services
Pursuant to section 787.06(13), Florida Statutes, this portion of the form must be completed by an officer or representative of the nongovernmental entity executing, renewing, or extending a contract with a governmental entity.
Name of entity 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:
Part B: Provision of Commodities Produced by Forced Labor
Pursuant to section 287.1346(4)(b), Florida Statutes, this portion of the form 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 Name of entity is offering to the Department 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 .