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
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 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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