RFP 25-03_Attachment H.pdf
PDF 923 KB Posted
- Attached to
- Low-Code Application Development Services
- Solicitation number
- RFP-15318
- Issued by
- Polk County, Florida
About this file
This is a certification form attachment (Attachment H) to RFP 25-03 issued by the Florida Department of Citrus for Low-Code Application Development Services. The form requires a nongovernmental entity executing, renewing, or extending a contract with the State of Florida to certify compliance with Florida Statutes section 787.06(14) regarding the prohibition of coercion for labor or services. The certification must be completed and signed by an officer or representative of the responding vendor under penalties of perjury, affirming that the entity does not use coercion for labor or services as defined in state law.
The form includes blank fields for the entity name, representative or officer's printed name and title, signature, and date, along with additional text fields for supplementary information if needed. This certification is a mandatory compliance document required as part of the vendor's proposal submission and serves as a prerequisite condition for contract award.
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Text version
PUR 2024
Use of Coercion for Labor or Services
Pursuant to section 787.06(14), 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.
The entity named below 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:
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