FORM 09-PUR 2024 USE OF COERCION FOR LABOR AND SERVICES.pdf
PDF 134 KB Posted
- Attached to
- MyFloridaNet-3 Core Services - ITN
- Solicitation number
- ITN-12980
- Issued by
- Clay County, Leon County, Polk County, Florida
About this file
This document is a PUR 2024 Form 09 for Use of Coercion for Labor and Services issued by the Florida Department of Management Services for the MyFloridaNetwork-3 Core Services project, with the Invitation to Negotiate (ITN) number DMS-24/25-260. The form is a statutory compliance document requiring nongovernmental entities entering into contracts with governmental entities to affirm they do not use coercion for labor or services as defined under section 787.06 of Florida Statutes.
The two-page form provides a template for an authorized representative or officer of a nongovernmental entity to declare, under penalties of perjury, that their organization does not engage in coercive labor practices. The document requires the entity to complete fields including the entity name, representative/officer's printed name and title, and a signature with date. This form appears to be a mandatory compliance document that must be completed as part of the contracting process for the MyFloridaNetwork-3 Core Services project, ensuring ethical labor practices among contractors working with the State of Florida.
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Text version
ITN No.: DMS-24/25-260 Page 1 of 2 MyFloridaNet-3 Core Services
FORM 09 – PUR 2024 USE OF COERCION FOR LABOR AND SERVICES
4050 Esplanade Way Tallahassee, FL 32399-0950
850-488-2786
Ron DeSantis, Governor Pedro Allende, Secretary
FOR
MyFloridaNetwork-3
ITN NO: DMS-24/25-260
THE STATE OF FLORIDA
DEPARTMENT OF MANAGEMENT SERVICES
ITN No.: DMS-24/25-260 Page 2 of 2 MyFloridaNet-3 Core Services
PUR 2024
Use of Coercion for Labor and Services
Pursuant to section 787.06(13), Florida Statutes, this affidavit must be completed by an officer or representative of the nongovernmental entity executing, renewing, or extending a contract with a governmental entity.
The entity named below 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: _____________________
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