PUR 2024_Use of Coercion Forced Labor.docx
DOCX document 32 KB Posted
- Solicitation number
- RFP-11537
- Issued by
- Polk County, Florida
About this file
This is a Florida state certification form requiring two declarations regarding forced labor and coercion. The form has two parts: Part A addresses compliance with Florida Statute 787.06(13) regarding the use of coercion for labor and services, while Part B addresses compliance with Florida Statute 287.1346(4)(b) regarding commodities produced by forced labor.
The document requires signatures from company representatives certifying that their entity does not use coerced labor and that their commodities are not produced using forced labor. Part A must be signed by a company officer or representative, while Part B must be completed by a member of the company's senior management. Both sections require the entity name, representative's name and title, signature, and date of certification.
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Other files
| File | Type | Posted |
|---|---|---|
| RFP 24-02_Questions and Answers.pdf | ||
| RFP 24-02_Timeline Update.pdf | ||
| PUR 7801 Vendor Certification Form.docx | DOCX document | |
| RFP 24-02 Europe Retail Marketing.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 .