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 Florida state procurement document related to preventing labor coercion and forced labor in government contracts. The form consists of two parts: Part A requires a nongovernmental entity's representative to affirm they do not use coercion for labor or services as defined in section 787.06 of Florida Statutes, and Part B requires a senior management member to certify that commodities offered to the Department have not been produced by forced labor. Both sections require the entity to sign under penalties of perjury, confirming the truthfulness of their statements.
The document is a standard compliance form designed to ensure contractors and vendors adhere to ethical labor practices, specifically prohibiting human trafficking, coerced labor, and forced production of goods. It is part of Florida's statutory requirements for entities seeking to enter, renew, or extend contracts with governmental entities, demonstrating the state's commitment to preventing exploitative labor practices in its procurement processes. The form must be completed by appropriate organizational representatives (an officer/representative for labor coercion and a senior management member for commodity production) before contract execution or renewal.
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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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