Form 6 - PUR 2024 Use of Coercion.pdf
PDF 79 KB Posted
- Solicitation number
- RFP-11961
- Issued by
- Leon County, Florida
About this file
Form 6 PUR 2024 is a compliance document from the Florida government related to the Elevate Florida residential mitigation grant program. The form consists of two parts: Part A addresses the use of coercion for labor and services, and Part B addresses the provision of commodities produced by forced labor. Both sections require certification by an officer or senior management representative of a nongovernmental entity when executing, renewing, or extending a contract with a governmental entity.
The document is designed to ensure that contractors and vendors certify they do not engage in forced labor or coercive labor practices, in compliance with Florida Statutes sections 787.06(13) and 287.1346(4)(b). The form must be completed before entering into or renewing a contract for the provision of commodities or services, with the signatory declaring under penalties of perjury that the statements made are true to the best of their knowledge.
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Text version
Form 6
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.
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 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: ___________
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