Attachment J, PUR 2024 Use of Coercion for Labor Services.pdf

PDF 72 KB Posted

Attached to
Natural Gas Supply ITB
Solicitation number
ITB-13699
Issued by
Leon County, Florida

About this file

Attachment J is an affidavit form mandated by Florida Statutes section 787.06(13) for nongovernmental entities executing, renewing, or extending contracts with governmental entities. The form requires completion by an officer or representative of the contracting entity and serves as a sworn declaration that the entity does not use coercion for labor or services as defined in section 787.06, Florida Statutes.

The affidavit requires the entity to provide its name, the representative or officer's printed name and title, the representative's signature, and the date of execution. Completion of this form is a mandatory compliance requirement for contract formation, renewal, or extension with any governmental entity in Florida. The signatory declares under penalties of perjury that the statement is true and accurate.

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Attachment J, PUR 2024 Use of Coercion for Labor Services.pdf PDF
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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: _____________________

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