375-030-31_Affidavit_Regarding_Labor_and_Services.docx
DOCX document 23 KB Posted
- Solicitation number
- ITB 25-073
- Issued by
- Lee County, Fort Lauderdale City, Florida
About this file
The document is an Affidavit Regarding Labor and Services from the Florida Department of Transportation (FDOT), effective July 1, 2024, pertaining to a contract for repair, upgrade, and motorization of two existing JIB cranes at the Central Wastewater Treatment Plant. The project involves replacing two 2010-era 4-ton mechanical hoists with new 5-ton Harrington electric chain hoists, each equipped with an electric trolley. Both the North and South JIB crane masts will be upgraded with motorized positioning and locking systems.
The affidavit requires the nongovernmental entity to provide a signed document attesting that they do not use coercion for labor or services, as defined under Florida Statutes 787.06(13). The document includes sections for the nongovernmental entity to provide contact information, with a notarized signature required to validate the affidavit. While specific pricing, funding sources, and contract term details are not explicitly outlined in this document, the affidavit serves as a compliance mechanism to ensure ethical labor practices for government contracts 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 .