E._Use_of_Coercion_for_Labor_and_Services_Affidavit_for_Nongovernmental_Entities.pdf

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Attached to
Air Conveyance System Cleaning - Bid #26-0146
Solicitation number
26-0146
Issued by
Sarasota County, Florida

About this file

This is a mandatory affidavit form required by the School Board of Sarasota County, Florida for Bid #26-0146, Air Conveyance System Cleaning. The affidavit is mandated by Section 787.06(13), Florida Statutes, and must be completed and signed by all nongovernmental entities executing, renewing, or extending a contract with the school board. The contract involves cleaning and decontamination of air handling and conveyance equipment on a firm, fixed-price basis for a one-year term from the date of award. Respondent vendors must provide company name, Federal Employer Identification Number (FEIN), authorized representative information, and contact details on the form.

The affidavit requires the authorized representative to certify under penalty of perjury that the vendor does not engage in coercion for labor or services, including practices such as use of physical force, unlawful restraint or confinement, exploitative debt practices, document confiscation, threats of financial harm, fraud or deceit, or provision of controlled substances for exploitation. The signatory must be an officer or authorized representative of the nongovernmental entity and must sign and date the completed form. This affidavit is a mandatory compliance document with no pricing, set-aside, or funding information included.

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State of Florida

Affidavit Regarding the Use of Coercion for Labor and Services

Respondent Vendor Name: ____________________________________________________

Vendor FEIN: __________________________________

Vendor's Authorized Representative Name and Title: __________________________________

Address: ______________________________________________________________________

City: ____________________________ State: _____________ ZIP: _____________________

Phone Number: _____________________________________________

Email Address: ______________________________________________

Section 787.06(13), Florida Statutes requires all nongovernmental entities executing, renewing, or extending a contract with a governmental entity to provide an affidavit signed by an officer or representative of the nongovernmental entity under penalty of perjury that the nongovernmental entity does not use coercion for labor or services as defined in that statute. The Sarasota County School Board is a governmental entity for purposes of this statute.

As the person authorized to sign on behalf of Respondent, I certify that the company identified does not:

• Use or threaten to use physical force against any person;

• Restrain, isolate, or confine or threaten to restrain, isolate, or confine any person without lawful authority and against her or his will;

• Use lending or other credit methods to establish a debt by any person when labor or services are pledged as a security for the debt, if the value of the labor or services as reasonably assessed is not applied toward the liquidation of the debt, the length and nature of the labor or services are not respectively limited and defined;

• Destroy, conceal, remove, confiscate, withhold, or possess any actual or purported passport, visa, or other immigration document, or any other actual or purported government identification document, of any person;

• Cause or threaten to cause financial harm to any person;

• Entice or lure any person by fraud or deceit; or

• Provide a controlled substance as outlined in Schedule I or Schedule II of s. 893.03 to any person for the purpose of exploitation of that person.

Under penalties of perjury, I declare that I have read the foregoing document and that the facts stated in it are true.

By: __________________________________________________________________________

AUTHORIZED SIGNATURE

Print Name and Title: ________________________________________ Date: ___________________

General Counsel Approved 04 24 24

THE SCHOOL BOARD OF SARASOTA COUNTY, FLORIDA

AIR CONVEYANCE SYSTEM CLEANING - BID #26-0146

ATTACHMENT E

Respondent Vendor Name:
Vendor FEIN:
s Authorized Representative Name and Title:
Address:
City:
State:
ZIP:
Phone Number:
Email Address:
By:
Print Name and Title:
Date:

File details come from the government source that posted it. Updated .