3-4. REQUIRED HumanTraffickingAffidavit CAO Final 8.12.25.docx

DOCX document 68 KB Posted

Attached to
Delivery Of Aluminum Sulfate
Solicitation number
IFB-045-26-RM
Issued by
Leon County, Florida

About this file

This is a Human Trafficking Attestation form required by the City of Tallahassee for nongovernmental entities executing, renewing, or extending contracts with the municipality, in compliance with Section 787.06(13) of the Florida Statutes. The attestation must be completed and signed by an authorized officer or representative of the contracting entity. The form applies to the City of Tallahassee's solicitation for the delivery of aluminum sulfate, a requirements contract for the furnishing, delivery, and pumping of bulk liquid aluminum sulfate to support the Underground Utilities and Public Infrastructure division. The specifications require liquid alum in the form of Aluminum Sulfate Solution AL2(SO4)3 equivalent to AL2O3 at 8.3%, with bidders responsible for familiarizing themselves with product specifications and inspecting delivery locations prior to submission. The contract represents a requirements arrangement where estimated quantities serve only as guidelines and do not guarantee minimum or maximum purchase volumes; the City reserves the right to increase or decrease ordered quantities and issue orders for delivery to multiple destinations.

Under the attestation requirements, the signing representative must affirm under penalty of perjury that the entity does not use coercion for labor or services as defined in Florida Statutes and must commit to immediately notifying the City of Tallahassee should any such coercion occur in the future. Pricing shall be bid on a per dry ton basis representing complete cost including delivery, with no basis for equitable price adjustment should the City's actual requirements differ from estimated quantities. The attestation form version is dated August 12, 2025, and serves as a compliance document for bid consideration.

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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 .