Form 4 - Use of Coercion Forced Labor.docx
DOCX document 32 KB Posted
- Attached to
- Emergency Fuels State and local contract opportunity
- Solicitation number
- RFP-12351
- Issued by
- Leon County, Florida
About this file
Form 4 - Use of Coercion Forced Labor is a compliance document issued by the Florida Division of Emergency Management (FDEM) for potential vendors in the Emergency Fuels RFP-DEM-24-25-018 solicitation. The form requires nongovernmental entities to certify that they do not use coercion for labor or services and have not produced commodities using forced labor, as mandated by sections 787.06 and 287.1346 of Florida Statutes. Vendors must complete two parts: Part A addressing labor coercion and Part B confirming that commodities are not produced through forced labor, with an authorized representative or senior management member signing under penalties of perjury.
The form is a critical compliance document for the Emergency Fueling Contracts, which requires vendors to provide detailed attestations about their labor practices and commodity production methods. By mandating these certifications, FDEM ensures that potential contractors adhere to ethical labor standards and do not engage in exploitative practices. The form serves as a prerequisite for contract eligibility, with vendors required to complete and submit this documentation as part of their proposal package for the statewide emergency fueling contract opportunity.
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Text version
Form 4
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 .