FORM 10 - pur 2024 use of coercion forced labor combined final.docx
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- Solicitation number
- ITN-12132
- Issued by
- Clay County, Florida
About this file
This document is a Form 10 from the State of Florida addressing labor and commodity procurement compliance, specifically related to sections 787.06 and 287.1346 of Florida Statutes. The form requires non-governmental entities to certify they do not use coercion for labor or services and that commodities are not produced through forced labor when submitting responses to government solicitations or entering/renewing government contracts.
The form is divided into two parts: Part A focuses on labor coercion certification, where the entity must declare under penalty of perjury that they do not use coercive labor practices as defined by Florida law. Part B requires senior management to certify that commodities offered to the government have not been produced by forced labor, with spaces provided for entity name, representative details, signatures, and dates of certification. While no specific contract details, quantities, or pricing are included, the document represents a critical compliance mechanism ensuring ethical labor practices in state procurement processes.
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Text version
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 .