20-22. REQUIRED HUMAN TRAFFICKING AFFIDAVIT.pdf
PDF 198 KB Posted
- Attached to
- PUMP STATION 43 IMPROVEMENTS
- Solicitation number
- IFB-023-26-RM
- Issued by
- Leon County, Florida
About this file
This is a Required Human Trafficking Affidavit form for a nongovernmental entity in Florida, specifically related to the Pump Station 43 Improvements contract opportunity. The affidavit certifies that the bidding entity does not use coercion for labor or services as defined under Section 787.06 of the Florida Statutes. The form must be signed and notarized by an officer or representative of the entity before submission. A mandatory pre-bid meeting is scheduled for March 18, 2026 at 2:00 PM EST via Microsoft Teams to discuss the project scope, which includes removal and installation of forcemain piping, surge tank installation, kingpin manhole installation, bypass pumping components, chemical tank relocation, and associated surface restoration work including asphalt patching and arboricultural mitigation for impacted trees.
The affidavit must be executed under penalty of perjury and requires notarization, either through physical presence or online notarization. The bidder must affirm to the best of their knowledge and belief that their entity complies with Florida human trafficking statutes. No federal funds are associated with this project, meaning federal provisions do not apply to the contract award. The affidavit form includes spaces for the entity name, officer signature and title, notary information, and identification verification, establishing a compliance requirement for all bidders participating in the Pump Station 43 Improvements contract opportunity in Florida.
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Text version
IFB 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 .