PUR 2024_Use of Coercion Forced Labor.docx
DOCX document 32 KB Posted
- Solicitation number
- RFP-11538
- Issued by
- Polk County, Florida
About this file
This is a required compliance form for contracting with Florida governmental entities that contains two parts related to forced labor and coercion certifications. Part A requires nongovernmental entities to certify that they do not use coercion for labor or services as defined in Florida Statute 787.06, while Part B requires certification from senior management that commodities being offered have not been produced using forced labor, as required by Florida Statute 287.1346(4)(b).
The form requires company representatives to provide entity names, printed names of officers/representatives, titles, signatures, and dates for both certifications. Part A must be completed by an officer or representative for any contract execution, renewal, or extension, while Part B must be completed by a senior management member when submitting responses to solicitations or before entering/renewing contracts for commodity provision.
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Other files
| File | Type | Posted |
|---|---|---|
| PUR 7801 Vendor Certification Form.docx | DOCX document | |
| RFP 24-03 France PR and Retail Mktg.pdf | ||
| RFP 24-03_Questions and Answers.pdf | ||
| RFP 24-03_Timeline Update.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 .