3-HUMAN TRAFFICKING AFFIDAVIT.pdf
PDF 243 KB Posted
- Attached to
- Citywide Debt Collection Services (Re-Bid)
- Solicitation number
- 49-RFP-26
- Issued by
- Brevard County, Florida
About this file
This is a Human Trafficking Affidavit required for the City of Palm Bay's Citywide Debt Collection Services (Re-Bid) contract opportunity in Florida. The affidavit is a declaration form completed by an authorized representative of a bidding company, confirming that the company does not use coercion for labor or services as defined under Florida Statute 787.06. The signatory must be over 18 years of age and possess personal knowledge of the matters stated in the declaration. The form includes fields for the company name, the signatory's role and name, and requires an authorized signature and printed identification.
This document serves as a compliance requirement executed under Florida Statute 92.525, with the signatory acknowledging that false statements may subject them to criminal penalties under perjury laws. The affidavit does not address pricing, contract terms, or project specifications; rather, it functions solely as a certification mechanism to ensure that bidders comply with Florida's human trafficking prevention statutes and maintain ethical labor practices throughout the contract performance period.
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Other files
| File | Type | Posted |
|---|---|---|
| 6-RFP Draft Agreement.pdf | ||
| 5-REFERENCES.pdf | ||
| 7-49-RFP-26 Addendum 1.pdf | ||
| 1-NON-COLLUSION AFFIDAVIT.pdf | ||
| 4-STANDARD TERMS CONDITIONS.pdf | ||
| 2-DRUG FREE WORKPLACE.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
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