10-7. Affidavit HumanTrafficking CAO Final.pdf
PDF 122 KB Posted
- Solicitation number
- IFB-079-26-KM
- Issued by
- Leon County, Florida
About this file
This is an attestation form required by the City of Tallahassee, Florida, for nongovernmental entities executing, renewing, or extending contracts with the municipality. The attestation form ensures compliance with Section 787.06(13) of Florida Statutes regarding human trafficking and labor coercion. The document requires an authorized officer or representative of the contracting entity to confirm under penalty of perjury that the entity does not use coercion for labor or services as defined in Florida law. The attestation applies to the City of Tallahassee's Fleet Management Department contract for annual dielectric inspection and testing of fleet equipment, including bucket trucks, boom trucks, and digger derricks to verify insulation integrity and structural safety.
The form requires the nongovernmental entity to provide certification that it complies with state anti-trafficking laws and commit to immediate notification to the City of Tallahassee should any future violations occur. Failure to comply or providing false attestation subjects the entity to criminal penalties under Florida perjury statutes. The signed attestation must include the entity's name, the signatory's printed name and title, signature, and date of execution. This attestation is a mandatory prerequisite for contract award and represents the entity's acknowledgment of its legal obligations under Florida law regarding labor practices and human trafficking prevention.
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Text version
ATTESTATION IN COMPLIANCE WITH SECTION 787.06(13), FLORIDA STATUTES
In accordance with Section 787.06(13), Florida Statutes, this attestation must be completed by an officer or representative of a nongovernmental entity that is executing, renewing or extending a contract with the City of Tallahassee.
The undersigned, on behalf of the nongovernmental entity referenced below (“Entity”), hereby attests under penalty of perjury that:
1. I am over eighteen years of age. The following information is given from my own personal knowledge.
2. I am an officer or representative of the Entity.
3. The Entity does not use coercion for labor or services as defined in Section 787.06, Florida Statutes.
4. If, at any time in the future, Entity uses coercion for labor or services, Entity will immediately notify the City of Tallahassee and no contracts may be executed, renewed, or extended between the parties.
5. I understand that I am swearing or affirming under penalties of perjury to the truthfulness of the claims made in this attestation and that the punishment for knowingly making a false statement in this declaration may subject me to criminal penalties.
6. I am authorized to provide this attestation on behalf of Entity.
7. I have read the foregoing attestation, and the Entity confirms that the facts stated in it are true, and are made for the benefit of, and reliance by, the City of Tallahassee.
Nongovernmental Entity:
Printed Name: _________________________________________________________________
Title: ________________________________________________________________________
Signature: _____________________________________________________________________
Date: _________________________________________________________________________
Ver. 4/10/25
File details come from the government source that posted it. Updated .