375-030-31_Affidavit_Regarding_Labor_and_Services.docx
DOCX document 23 KB Posted
- Solicitation number
- RSQ 25-083
- 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 executing, renewing, or extending contracts with governmental entities must provide a signed affidavit attesting that they do not use coercion for labor or services, as defined under Florida Statutes 787.06(13). The affidavit is specifically related to the City of Fort Myers' contract opportunity for the ROWTP Production Wellfield Expansion, a grant-funded project seeking a qualified design team to expand the capacity of the city's potable water supply wellfield.
The affidavit requires the nongovernmental entity's authorized representative to sign a sworn statement under penalty of perjury, confirming their organization does not engage in labor or service coercion. While the document does not specify detailed pricing or funding specifics, it is part of a broader procurement process for a water infrastructure project in Florida, likely involving design, permitting, and construction support services. The affidavit serves as a legal compliance mechanism to ensure ethical labor practices among contractors seeking to work with governmental entities, with the form requiring notarization and providing spaces for detailed entity and representative information.
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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 .