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 to a solicitation for Aviation Hull and Protection & Indemnity Insurance issued by the State of Florida. The solicitation requires the completion of an attestation form confirming that the vendor does not use coercion for labor or services and that the commodities offered have not been produced by forced labor. This solicitation is open to vendors across the state of Florida, with Leon County identified as a participating jurisdiction. The solicitation does not provide specific details on the contract's scope, quantities, or term, but it outlines the protest procedures and deadlines for vendors to follow if they wish to challenge the agency's decision or intended decision.
The document does not contain any information on pricing terms, set-asides, incumbents, funding requirements, or other salient commercial details. The focus of the attachment is solely on the vendor attestations required by Florida statutes regarding the use of coercion and 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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