AV 24-64121501-ITB V2 Attachment M PUR 2024.pdf
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- Solicitation number
- ITB-10075
- Issued by
- Sarasota County, Florida
About this file
This document is an attachment related to Solicitation No. 24-64121501-ITB V2 for Aviation Hull and Protection & Indemnity Insurance issued by the state of Florida. The attachment consists of two parts: Part A, which requires the executing entity to certify that it does not use coercion for labor or services as defined in Florida Statutes, and Part B, which requires a senior management member to certify that the commodities being offered have not been produced, in whole or in part, by forced labor.
The document does not provide details about the products or services being requested, project overviews, item quantities, response dates, due dates, site visits, bidder's meetings and conferences, award dates, or the term of the contract including any renewal options. It solely focuses on the certifications required by the state of Florida regarding the use of coercion for labor and services, and the provision of commodities produced by forced labor.
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Text version
Solicitation No. 24-64121501-ITB V2 Aviation Hull and Protection & Indemnity Insurance
Attachment M
PUR 2024
Part A: Use of Coercion for Labor and Services
Pursuant to section 787.06(13), 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.
Name of 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:
Part B: Provision of Commodities Produced by Forced Labor
Pursuant to section 287.1346(4)(b), Florida Statutes, this portion of the form 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 Name of entity is offering to the Department 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:
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