Attachment R - PUR 2024 Use of Coercion for Labor or Services.pdf

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Attached to
Prequalification for Information Technology Staff Augmentation Services ITB (Supplemental 2026)
Solicitation number
ITB-16584
Issued by
Leon County, Florida

About this file

This is an attestation form required by Florida Statutes Section 787.06(14) for nongovernmental entities entering into, renewing, or extending contracts with governmental entities in Florida. The form serves as a certification that the executing entity does not use coercion for labor or services as defined under Florida law. The document requires completion and signature by an authorized officer or representative of the nongovernmental entity, with the signatory declaring under penalties of perjury that the statement is truthful and accurate. The form is designated as Attachment R to PUR 2024 and is associated with ITB No. 23-80101507-ITB-Supplemental26.

No pricing terms, set-asides, incumbents, or other financial considerations are addressed in this attestation document. The form contains only blank fields for entity name, representative name, title, signature, and date, serving solely as a compliance mechanism to verify that the contractor has not engaged in labor coercion practices prohibited by Florida law.

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Text version

Pursuant to section 787.06(14), Florida Statutes, this portion of the form must be completed by an officer or representative of the nongovernmental entity executing, renewing, or extending a contract with a governmental entity.

The entity 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:

PUR 2024

Use of Coercion for Labor or Services

Attachment R, ITB No: 23-80101507-ITB-Supplemental26

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