Attachment I - PUR 2023 Provision of Commodities Produced by Forced Labor.pdf

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Attached to
Bulk Fuel, Gasoline, Diesel, Marine, and Biodiesel ITBv2
Solicitation number
ITB-13913
Issued by
Alachua County, Florida

About this file

This document is a mandatory certification form (Attachment I, PUR 2023) under Florida Statutes section 287.1346(4)(b), required for entities submitting solicitations or entering/renewing contracts for commodity provisions. The form is designed to ensure that commodities offered to the Department have not been produced, in whole or in part, by forced labor.

The certification must be completed and signed by a member of the company's senior management, as defined in the statute, at the time of bid submission or contract renewal. The form requires the entity to provide its name, the senior management representative's printed name and title, and a signature with date, affirming their knowledge that the commodities have not been produced through forced labor.

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Attachment I

PUR 2023

Provision of Commodities Produced by Forced Labor

Pursuant to section 287.1346(4)(b), Florida Statutes, this written certif ication 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 .