13-FORM 6 - Human Trafficking Affidavit Form.pdf

PDF 92 KB Posted

Attached to
Re-Bid Lincoln Community Center Waterproofing
Solicitation number
IFB-112-25-KM
Issued by
Leon County, Florida

About this file

This document is a Human Trafficking Affidavit form issued by the City of Tallahassee, required under Section 787.06(13) of Florida Statutes for nongovernmental entities entering into a contract. The form requires an officer or representative of an entity to affirm, under penalty of perjury, that their organization does not use coercion for labor or services as defined in the referenced statute. The affidavit must be signed, dated, and notarized, with options for either physical presence or online notarization.

The form is a standard compliance document designed to ensure contractors adhere to legal standards prohibiting human trafficking. It provides spaces for the entity name, a signature, the signer's title, and notary details, including state and county information and identification verification. The document is part of the City of Tallahassee's contractual requirements, serving as a legal attestation that potential contractors maintain ethical labor practices consistent with Florida law.

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Text version

CONTRACT No.: ____________________________

NONGOVERNMENTAL ENTITY

HUMAN TRAFFICKING AFFIDAVIT

Section 787.06(13), Florida Statutes

THIS AFFIDAVIT MUST BE SIGNED AND NOTARIZED

I, the undersigned, am an officer or representative of _______________________________ and attest that said entity does not use coercion for labor or services as defined in section 787.06, Florida Statutes. Under penalty of perjury, I hereby declare and affirm, to the best of my knowledge and belief, that the above stated facts are true and correct.

Entity Name: _____________________________

Signature

Title

STATE OF __________________________

COUNTY OF ___________________________

SWORN TO AND SUBSCRIBED before me by means of

___physical presence or ___online notarization this ______ day of ________________, 2024.

They are ____personally known to me or has produced _______________________ (Type of Identification) as identification.

(Notary Seal) Notary Public

Print, Type or Stamp Name of Notary

File details come from the government source that posted it. Updated .