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 an attestation form required by the Florida Department of Citrus (FDOC) as part of RFP 25-03 for Low-Code Application Development Services. The form must be completed and signed by an officer or representative of any nongovernmental entity seeking to execute, renew, or extend a contract with FDOC. The document serves as a certification under penalties of perjury that the entity does not use coercion for labor or services as defined in Florida Statutes section 787.06(14). The form requires completion of fields for entity name, representative name and title, signature, and date, along with three additional text fields for supplementary information or certifications as needed.
This attestation is a mandatory compliance requirement for all vendors responding to the RFP 25-03 solicitation and must be submitted as part of the proposal package. The form ensures vendor adherence to Florida state statutory requirements prohibiting coercion for labor or services and represents a standard contractual obligation imposed on all nongovernmental contractors doing business with the State of Florida. No exceptions, waivers, or alternative certifications are permitted.
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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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