375-030-31_Affidavit_Regarding_Labor_and_Services.docx
DOCX document 23 KB Posted
- Solicitation number
- ITB 25-073
- 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 requires nongovernmental entities executing 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 related state and local contract opportunity is an Invitation to Bid (ITB 25-073) issued by the City of Fort Myers for the Repair, Upgrade, and Motorization of Two Existing JIB Cranes at the Central Wastewater Treatment Plant, with bid submissions due by August 5, 2025, at 2:00 pm and a proposed City Council approval date of September 8, 2025.
The project involves replacing two 2010-era 4-ton mechanical hoists with new 5-ton Harrington electric chain hoists, each equipped with an electric trolley and 40-foot lift capabilities, with a total project cost of $308,576.00. The procurement includes a 15% Minority Business Enterprise (MBE) goal and requires contractors to comply with various federal and state regulations, including E-Verify employment eligibility verification and Build America, Buy America Act provisions. The current identified supplier is Certified Slings Inc. from Casselberry, Florida, and the contract will have firm pricing for the first year with potential price adjustments in subsequent renewal terms limited to the Consumer Price Index or a maximum of 3%. The City reserves the right to award the contract based on the lowest responsive and responsible bid, with no guaranteed minimum quantity of work.
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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 .