3-HUMAN TRAFFICKING AFFIDAVIT.pdf

PDF 243 KB Posted

Attached to
Citywide Debt Collection Services
Solicitation number
34-RFP-26
Issued by
Brevard County, Florida

About this file

This is a Human Trafficking Affidavit form required for the Citywide Debt Collection Services contract opportunity in Florida. The affidavit is a declaration statement to be completed and signed by an authorized representative of a bidding company, confirming the company's compliance with Florida Statute 787.06 regarding labor practices. The signatory must attest under penalty of perjury that they are over 18 years of age, have personal knowledge of the company's operations, and that the company does not use coercion for labor or services as defined by Florida law. The form requires identification of the signatory's role, the company name, an authorized signature, and the printed name and title of the authorized representative.

This affidavit serves as a mandatory compliance verification document under Florida Statute 92.525 and must be executed by bidders as part of their proposal submission for the Citywide Debt Collection Services contract. False statements in this affidavit may result in criminal penalties. The form represents a standard anti-human trafficking verification requirement for state and local government contracting in Florida, designed to ensure that all contractors maintain ethical labor practices and comply with state human trafficking prevention statutes.

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Other files

File Type Posted
1-NON-COLLUSION AFFIDAVIT.pdf PDF
4-STANDARD TERMS CONDITIONS.pdf PDF
2-DRUG FREE WORKPLACE.pdf PDF
5-REFERENCES.pdf PDF
6-RFP Draft Agreement.pdf PDF

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Text version

HUMAN TRAFFICKING AFFIDAVIT

1. I am over the age of 18 and I have personal knowledge of the matters set forth except as otherwise set forth herein.

2. I currently service ___________________ (Role) of __________________________(Company).

3. ______________________________ (Company) does not use coercion for labor or services, as those terms are defined in Florida Statute 787.06.

4. This declaration is made pursuant to Florida Statute 92.525. I understand that making a false statement in this declaration may subject me to criminal penalties.

Under penalties of perjury, I ___________________________________________ (Signatory Name and

Title), declare that I have read the foregoing Human Trafficking Affidavit and that the facts stated in it are true.

Authorized Signature

Printed Name & Title

Company

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