FORM 14-PUR 2023-PROVISION OF COMMODITIES PRODUCED BY FORCED LABOR.pdf
PDF 143 KB Posted
- Attached to
- MyFloridaNet-3 ITN
- Solicitation number
- ITN-16760
- Issued by
- Florida
About this file
This is a certification form (Form 14 - PUR 2023) issued by the State of Florida Department of Management Services (DMS) for the MyFloridaNetwork-3 procurement under ITN No. DMS-26/27-025. The form is required for any entity submitting a response to a state solicitation for the provision of commodities. Senior management members must complete and sign this certification before the company submits its bid response or before entering into or renewing a contract for commodity provision.
The certification requires the company's senior management to attest that, to the best of their knowledge, the commodities offered to the Department have not been produced, in whole or in part, by forced labor. This requirement is mandated by section 287.1346(4)(b), Florida Statutes. The form requires completion of the entity name, senior management member's printed name and title, signature, and date. No specific commodities, quantities, pricing, or contract term information is detailed in this compliance document.
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Text version
ITN No.: DMS-26/27-025 Page 1 of 2
PUR 2023
4050 Esplanade Way Tallahassee, FL 32399-0950
850-488-2786
Ron DeSantis, Governor Tom Berger, Secretary
FORM 14 – PUR 2023 PROVISION OF COMMODITIES PRODUCED BY
FORCED LABOR
FOR
MyFloridaNetwork-3
ITN NO: DMS-26/27-025
THE STATE OF FLORIDA
DEPARTMENT OF MANAGEMENT SERVICES
ITN No.: DMS-26/27-025 Page 2 of 2
PUR 2023
PUR 2023
Provision of Commodities Produced by Forced Labor
Pursuant to section 287.1346(4)(b), Florida Statutes, this written certif ication 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 offered to the Department by the entity named below 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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