Attachment_F.__Use_of_Coercion_for_Labor_and_Services_Affidavit_for_Nongovernmental_Entities1.pdf

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Attached to
Plumbing Services - Time and Materials - Bid #26-0038
Solicitation number
26-0038
Issued by
Sarasota County, Florida

About this file

This is an affidavit form required by the School Board of Sarasota County, Florida for Plumbing Services - Time and Materials - Bid #26-0038. The affidavit is mandated under Section 787.06(13) of Florida Statutes and must be completed and signed by an authorized representative of any nongovernmental entity executing, renewing, or extending a contract with the school board. The form requires the vendor to certify under penalty of perjury that the company does not engage in coercion for labor or services, including practices such as using or threatening physical force, unlawfully restraining or confining persons, establishing debt through pledged labor without proper value application, confiscating identification or government documents, causing financial harm, using fraud or deceit to lure persons, or providing controlled substances for exploitation purposes.

The affidavit requires completion of standard vendor identification information including respondent vendor name, FEIN, authorized representative name and title, address, city, state, ZIP code, phone number, and email address. The authorized representative must sign the affidavit and include their printed name, title, and date of execution. This document serves as a compliance certification rather than a pricing or service specification document and must be submitted as part of the bid response to demonstrate the vendor's lawful employment and labor practices in accordance with Florida state requirements.

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Text version

Respondent Vendor Name: ____________________________________________________

Vendor FEIN: __________________________________

Vendor's Authorized Representative Name and Title: __________________________________

Address: ______________________________________________________________________

City: ____________________________ State: _____________ ZIP: _____________________

Phone Number: _____________________________________________

Email Address: ______________________________________________

Section 787.06(13), Florida Statutes requires all nongovernmental entities executing, renewing, or extending a contract with a governmental entity to provide an affidavit signed by an officer or representative of the nongovernmental entity under penalty of perjury that the nongovernmental entity does not use coercion for labor or services as defined in that statute. The Sarasota County School Board is a governmental entity for purposes of this statute.

As the person authorized to sign on behalf of Respondent, I certify that the company identified does not:

• Use or threaten to use physical force against any person;

• Restrain, isolate, or confine or threaten to restrain, isolate, or confine any person without lawful authority and against her or his will;

• Use lending or other credit methods to establish a debt by any person when labor or services are pledged as a security for the debt, if the value of the labor or services as reasonably assessed is not applied toward the liquidation of the debt, the length and nature of the labor or services are not respectively limited and defined;

• Destroy, conceal, remove, confiscate, withhold, or possess any actual or purported passport, visa, or other immigration document, or any other actual or purported government identification document, of any person;

• Cause or threaten to cause financial harm to any person;

• Entice or lure any person by fraud or deceit; or

• Provide a controlled substance as outlined in Schedule I or Schedule II of s. 893.03 to any person for the purpose of exploitation of that person.

Under penalties of perjury, I declare that I have read the foregoing document and that the facts stated in it are true.

By: __________________________________________________________________________

AUTHORIZED SIGNATURE

Print Name and Title: ________________________________________ Date: ___________________

THE SCHOOL BOARD OF SARASOTA COUNTY, FLORIDA

PLUMBING SERVICES – TIME AND MATERIALS - BID #26-0038

ATTACHMENT F

State of Florida

Affidavit Regarding the Use of Coercion for Labor and Services

30889250v1

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