18-18. REQUIRED HumanTraffickingAffidavit CAO Final 8.12.25.docx

DOCX document 68 KB Posted

Attached to
Brookwood Drive Drainage Improvements
Solicitation number
IFB-082-25-RM
Issued by
Leon County, Florida

About this file

The document is an Attestation in Compliance with Section 787.06(13), Florida Statutes, specifically related to the City of Tallahassee's requirement for nongovernmental entities executing, renewing, or extending contracts. The attestation form requires an authorized representative to affirm under penalty of perjury that their organization does not use coercion for labor or services as defined in Florida Statutes, and commits to immediately notifying the City if such practices ever occur. The form is designed to be executed in conjunction with contract activities and requires the entity's officer to provide their printed name, title, signature, and date.

The related state and local contract opportunity is for the Brookwood Drive Drainage Improvements project in Florida, which involves constructing approximately 240 linear feet of 8-foot by 5-foot concrete box culvert, including reinforced concrete pipe, structures, manholes, concrete curb and gutter, and ditch stabilization. A mandatory pre-bid meeting is scheduled for October 8, 2025, at 2:00 PM EST via Microsoft Teams, with detailed connection information provided. The project scope includes additional elements such as fence installation, sodding, utility adjustments, roadway repair, and restoration of disturbed areas, with the contractor expected to perform services in a timely and professional manner.

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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 am authorized to provide this attestation on behalf of Entity.

6. I have read the foregoing attestation and understand that I am affirming under penalties of perjury to the truthfulness of the statements made in this attestation and that the punishment for knowingly making a false statement in this attestation may subject me to criminal penalties. The statements above are made for the benefit of, and reliance by, the City of Tallahassee.

Nongovernmental Entity:

Printed Name:

Title:

Signature:

Date:

Ver. 8/12/25 KC image1.emf

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