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, effective July 1, 2024, which requires nongovernmental entities entering into contracts with governmental entities to 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 must be signed by an authorized representative under penalty of perjury, and includes spaces for the nongovernmental entity's name, address, contact information, and requires notarization.
This affidavit is part of a broader procurement compliance mechanism designed to prevent labor coercion and ensure ethical contracting practices. The document is specifically tied to state contract opportunities, such as the ROWTP Production Wellfield Expansion project by the City of Fort Myers, which involves water infrastructure development and requires multiple compliance certifications. While the affidavit itself does not specify financial terms, it represents a legal requirement for entities seeking to contract with governmental bodies in Florida, emphasizing transparency and prevention of exploitative labor practices.
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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 .