375-030-31_Affidavit_Regarding_Labor_and_Services.docx
DOCX document 23 KB Posted
- Attached to
- Architectural Services Continuing Contract State and local contract opportunity
- Solicitation number
- 25-069-RSQ
- Issued by
- Lee County, Fruitville CDP, Florida
About this file
This document is an Affidavit Regarding Labor and Services from the Florida Department of Transportation, effective July 1, 2024, related to a requirement under Florida Statutes 787.06(13). The affidavit mandates that when a nongovernmental entity enters into, renews, or extends a contract with a governmental entity, they must provide a signed affidavit attesting that they do not use coercion for labor or services.
The affidavit is a legal document that requires an authorized representative of the nongovernmental entity to swear under penalty of perjury that their organization does not engage in coercive labor practices. The document provides a template for the affidavit, including spaces for the entity's name, address, contact information, and the authorized representative's details, with a space for notarization to validate the sworn statement.
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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 .