375-030-31_Affidavit_Regarding_Labor_and_Services.docx
DOCX document 23 KB Posted
- Attached to
- Tarpon Street and Riverside Pier Construction
- Solicitation number
- 25-042-ITB
- 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, mandating 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). The related contract opportunity involves the City of Fort Myers seeking qualified respondents for a construction project to completely rebuild the Tarpon Street Pier and repair and restore the Riverside Pier and paddle craft launch.
The affidavit is a mandatory compliance document that must be completed by any nongovernmental entity entering into a contract with a governmental entity in Florida, focusing on preventing labor coercion. While the affidavit itself does not specify pricing, terms, or specific contract details, it is a required administrative step in the procurement process. The associated construction project for the City of Fort Myers represents a specific infrastructure improvement initiative targeting pier reconstruction and restoration, though precise project budget, timeline, and specific technical requirements are not detailed in this particular document.
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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 .