Attachment I, PUR 2023 Provision of Commodities Produced by Forced Labor.pdf
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- Attached to
- Natural Gas Supply ITB
- Solicitation number
- ITB-13699
- Issued by
- Leon County, Florida
About this file
This document is a standard certification form (Attachment I, PUR 2023) related to the Provision of Commodities Produced by Forced Labor, issued under Florida Statutes section 287.1346(4)(b). The form requires a senior management representative from a company to certify that the commodities being offered to a government department have not been produced, either wholly or partially, through forced labor. This certification must be completed when submitting a solicitation response and before entering into or renewing a contract for commodity provision.
The form is a legal attestation that mandates the senior management member to sign and date the document, confirming their knowledge about the labor conditions under which the commodities were produced. The certification applies specifically to entities seeking to do business with a Florida state department, emphasizing the state's commitment to preventing human rights violations in supply chains. Blank spaces are provided for the entity name, senior management's printed name, title, signature, and date of certification.
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Text version
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: _________________
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