AV 24-64121501-ITB V2 Attachment M PUR 2024.pdf
PDF 110 KB Posted
- 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 two certification forms - one regarding the use of coercion for labor or services, and another regarding the provision of commodities produced by forced labor. The solicitation is open to both governmental and nongovernmental entities, and protests must be filed with the Department of Management Services' Agency Clerk within the timeframe specified in Section 120.57(3) of the Florida Statutes.
The contract term and any renewal options are not specified in the provided information. The document does not contain details on pricing terms, set asides, incumbent contractors, funding requirements, or other salient commercial information.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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:
File details come from the government source that posted it. Updated .