375-030-31_Affidavit_Regarding_Labor_and_Services.docx
DOCX document 23 KB Posted
- Attached to
- Concrete Materials and Delivery State and local contract opportunity
- Solicitation number
- ITB 25-080
- Issued by
- Lee County, Fort Lauderdale City, Florida
About this file
This document is an Affidavit Regarding Labor and Services issued by the Florida Department of Transportation, effective July 1, 2024, in compliance with Florida Statutes 787.06(13). The affidavit requires nongovernmental entities entering into, renewing, or extending contracts with governmental entities to provide a signed sworn statement attesting that they do not use coercion for labor or services.
The related state and local contract opportunity involves the City of Fort Myers seeking contractors to provide concrete delivery using front-loading trucks. The affidavit form mandates that the nongovernmental entity's authorized representative sign a document under penalty of perjury, confirming their organization does not engage in coercive labor practices. While the specific concrete materials contract details are limited in this document, the affidavit represents a critical legal compliance requirement for potential contractors doing business with Florida governmental entities.
View the file
Other files for this state and local contract opportunity
Show all 19
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .