Attachment J, PUR 2024 Use of Coercion for Labor Services.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 Attachment J, a Use of Coercion for Labor and Services affidavit related to PUR 2024, which pertains to Florida state contracting requirements. The form is designed for nongovernmental entities executing, renewing, or extending contracts with governmental entities, specifically requiring attestation that the entity does not use coercion for labor or services as defined in section 787.06 of Florida Statutes.
The affidavit requires an authorized representative or officer of the nongovernmental entity to complete and sign the document, declaring under penalties of perjury that they have read the statement and that the facts presented are true. The form includes blank spaces for the entity name, representative's printed name and title, signature, and date of execution. This document serves as a legal declaration of compliance with Florida's labor and services regulations for entities seeking to contract with governmental bodies.
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Text version
Attachment J
PUR 2024
Use of Coercion for Labor and Services
Pursuant to section 787.06(13), Florida Statutes, this affidavit must be completed by an officer or representative of the nongovernmental entity executing, renewing, or extending a contract with a governmental entity.
The entity named below 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: _____________________
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