PUR 2024_Use of Coercion Forced Labor.docx

DOCX document 32 KB Posted

Attached to
Canada Retail Marketing and Public Relations
Solicitation number
RFP-11536
Issued by
Polk County, Florida

About this file

This is a Florida state certification form addressing two key compliance requirements related to labor practices. The form consists of two parts that must be completed by entities doing business with Florida governmental entities: Part A requires certification regarding use of coercion for labor/services under Florida Statute 787.06(13), while Part B addresses certification regarding forced labor in commodity production under Florida Statute 287.1346(4)(b).

The form requires specific signatories for each section - Part A must be signed by an officer or representative of the nongovernmental entity, while Part B must be completed by a member of the company's senior management. Both sections require the entity name, printed name of signatory, title, signature, and date. The document serves as a legal declaration under penalty of perjury that the entity complies with Florida's regulations prohibiting coerced labor and forced labor in the production of commodities offered to state departments.

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Other files

File Type Posted
RFP 24-01 Canada Retail Mktg and PR.pdf PDF
PUR 7801 Vendor Certification Form.docx DOCX document
RFP 24-01_Questions and Answers.pdf PDF
RFP 24-01_Timeline Update.pdf PDF

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Text version

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 .