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.

View the file

Other files

File Type Posted
21-23-11. REQUIRED IFB 023-26-RM Vendor Conflict of Interest.docx DOCX document
9-10-3. IFB 023-26-RM SUPPLEMENTAL SPECIFICATIONS.pdf PDF
4-5-12. REQUIRED IFB 023-26-RM Non Collusion Affidavit of Respondent.docx DOCX document
23-4. REQUIRED PRICE SCHEDULE IFB 023-26-RM.xls XLS spreadsheet
6-7-14. REQUIRED IFB 023-26-RM Local Vendor Affidavit.docx DOCX document
14-16-APPENDIX B - IFB 023-26-RM Leon County EMP Permit (LEM24062).pdf PDF
10-11-4. IFB 023-26-RM SPECIAL PROVISIONS.docx DOCX document
12-13-6. IFB 023-26-RM Final Plans.pdf PDF
11-12-5. IFB 023-26-RM SUPPLEMENTAL INFORMATION.docx DOCX document
13-15-APPENDIX A - IFB 023-26-RM City of Tallahassee General Utility Permit (TEM220057).pdf PDF
8-9-2. IFB 023-26-RM GENERAL PROVISIONS.pdf PDF
3-3-16. REQUIRED IFB 023-26-RM OEV FORMS ITB MWBE Forms Updated 10.06.22.docx DOCX document
19-21-13. DRAFT CONTRACT CONSTRUCTION (from IFB) 1.2024.doc DOC document
1-1-1. REQUIRED IFB 023-026-RM -PS-43 REQUIRED IFB SECTIONS 123.docx DOCX document
7-8-15. REQUIRED IFB 023-26-RM Responsible Vendor Review Form.docx DOCX document
5-6-13. REQUIRED IFB 023-26-RM Representations Certifications.docx DOCX document
16-18-APPENDIX D - IFB 023-26-RM PS-43 FDOT Permit (Package.pdf PDF
18-20-APPENDIX F - IFB 023-26-RM PS-43 Meginnis Arm Survey SIGNED.pdf PDF
15-17-APPENDIX C - IFB 023-26-RM PS-43 Leon County R-W Permit Application.pdf PDF
17-19-APPENDIX E - IFB 023-26-RM PS-43 Meginnis Arm WGI (4-9-2024) Utility Report.pdf PDF
2-2-8. REQUIRED IFB 023-26-RM Performance and Bid Bond Trench Safety Act Form.docx DOCX document
22-14-11. REQUIRED IFB 023-26-RM Vendor Conflict of Interest.docx DOCX document
Show all 22

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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 .