375-030-31_Affidavit_Regarding_Labor_and_Services.docx
DOCX document 23 KB Posted
- Solicitation number
- 25-057-ITB
- Issued by
- Lee County, Fort Lauderdale City, Florida
About this file
The document is a Florida Department of Transportation (FDOT) Affidavit Regarding Labor and Services, effective July 1, 2024, which requires nongovernmental entities to provide an official sworn statement when executing, renewing, or extending contracts with governmental entities. The affidavit specifically addresses compliance with Florida Statute 787.06(13), mandating that contractors attest they do not use coercion for labor or services.
The related state and local contract opportunity involves the City of Fort Myers seeking qualified respondents to provide unleaded gasoline and diesel fuel supply and delivery services. While the affidavit is a standard compliance document, it is associated with a procurement process that requires contractors to certify their labor practices are free from coercion, which is a critical legal and ethical requirement for doing business with government entities in Florida.
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Text version
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
AFFIDAVIT REGARDING LABOR AND SERVICES
375-030-31
PROCUREMENT
07/24
Effective July 1, 2024, pursuant to §787.06(13), Florida Statutes, when a contract is executed, renewed, or extended between a nongovernmental entity and a governmental entity, the nongovernmental entity must provide the governmental entity with an affidavit signed by an officer or a representative of the nongovernmental entity under penalty of perjury attesting that the nongovernmental entity does not use coercion for labor or services.
| Nongovernmental Entity's Name: |
| Address: |
| Phone Number: |
| Authorized Representative’s Name: |
| Authorized Representative’s Title: |
| Email Address: |
AFFIDAVIT
I, insert nongovernmental entity's authorized representative name, as authorized representative attest that insert nongovernmental entity's namedoes not use coercion for labor or services as defined in §787.06, Florida Statutes.
Under penalty of perjury, I declare that I have read the foregoing Affidavit and that the facts stated in it are true.
| (Signature of authorized representative) |
| Date |
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me, by means of |_| physical presence or |_|online notarization, this day of , (year), by
Notary Public, not required when digital
Commission Expires
Personally Known |_| OR Produced Identification |_| Type of Identification Produced
File details come from the government source that posted it. Updated .