375-030-31_Affidavit_Regarding_Labor_and_Services.docx

23 KB Posted

Attached to
Brick Paver Maintenance and New Installation
Solicitation number
ITB 25-084
Issued by
Lee County, Fruitville CDP, Florida

About this file

Written by GovTribe AI ·

This document is an Affidavit Regarding Labor and Services from the Florida Department of Transportation (FDOT), effective July 1, 2024, which mandates that nongovernmental entities provide an affidavit to governmental entities when executing, renewing, or extending contracts. The affidavit specifically requires the nongovernmental entity's authorized representative to attest under penalty of perjury that the organization does not use coercion for labor or services, as defined in Florida Statutes 787.06(13).

The related state and local contract opportunity involves brick paver maintenance and new installation for the City of Fort Myers, Florida. The city is seeking qualified contractors to perform maintenance and installation services at various locations within the municipal boundaries. While specific project details such as precise scope, budget, or timeline are not fully elaborated in this document, the affidavit serves as a critical compliance document ensuring ethical labor practices for contractors participating in the municipal project.

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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 .