375-030-31_Affidavit_Regarding_Labor_and_Services.docx
DOCX document 23 KB Posted
- Attached to
- Annual Paving, Drainage and Concrete
- Solicitation number
- ITB 25-086
- 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, which mandates that nongovernmental entities provide a signed affidavit when executing, renewing, or extending contracts with governmental entities. The affidavit requires the nongovernmental entity to attest, under penalty of perjury, that they do not use coercion for labor or services as defined in Florida Statutes 787.06(13). This document is associated with the City of Fort Myers' Annual Paving, Drainage and Concrete contract opportunity, which seeks qualified contractors to provide site/civil construction repairs and improvements on an as-needed basis throughout the city.
The affidavit is a legal requirement for contract compliance, focusing on preventing labor coercion and ensuring ethical business practices. It must be completed by an authorized representative of the nongovernmental entity, including their name, contact information, and signature, and requires notarization. While the document does not provide specific details about pricing, contract value, or performance requirements, it is a critical component of the procurement process for the City of Fort Myers' construction and infrastructure maintenance project, demonstrating the state's commitment to preventing labor exploitation and maintaining high standards of contractor accountability.
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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 .