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

PDF 80 KB Posted

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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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: _________________

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