Form 5 - PUR 2023 and PUR 2024 Combined.pdf

Form 5 is a compliance certification document required by the Florida Division of Emergency Management for vendors responding to Invitation to Bid ITB-DEM-25-26-020 for WebEOC emergency management software solutions. The form comprises two distinct attestations: PUR 2024 requiring certification that the entity does not use coercion for labor or services as defined under Florida Statutes section 787.06(14), and PUR 2023 requiring senior management certification that commodities offered have not been produced in whole or in part by forced labor as defined under Florida Statutes section 287.1346. Both certifications must be executed under penalties of perjury by authorized representatives of the bidding entity, with PUR 2024 requiring signature from any officer or representative and PUR 2023 requiring certification from senior management personnel including chief executive officers, chief financial officers, vice presidents, or employees performing similar functions. The completed form requires entity name, representative printed name and title, signature, and date fields for both attestation sections.

This certification document is mandatory for all vendors submitting bids to the Florida Division of Emergency Management for the WebEOC procurement, which encompasses software licenses, SaaS subscriptions, hosting solutions, professional services, training, and complementary modules over an eight-year period including initial five-year contract term and three optional renewal years. Bidders must submit completed Form 5 along with other required compliance documentation including the Vendor Certification Form (PUR 7801), Foreign Countries of Concern Attestation (PUR 1355), Drug-Free Workplace Certification, Vendor Acknowledgement Form, and Addendum Acknowledgement Form, with bid submission deadline of April 28, 2026, at 5:00 PM Eastern Time and public opening scheduled for April 29, 2026, at 9:00 AM.