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 is an Affidavit Regarding Labor and Services form issued by the State of Florida Department of Transportation, applicable to all contracts executed, renewed, or extended between nongovernmental entities and governmental entities effective July 1, 2024, pursuant to Florida Statutes 787.06(13). The form requires authorized representatives of nongovernmental entities to attest under penalty of perjury that their organization does not use coercion for labor or services as defined in state law. The affidavit must be completed with the nongovernmental entity's name, address, phone number, authorized representative's name and title, email address, and the representative's signature. The document requires notarization by a notary public, either through physical presence or online notarization, with the notary verifying personal knowledge of the representative or identification produced.

This affidavit applies to the City of Fort Myers' Request for Statement of Qualifications (RSQ 25-069) for architectural services under a continuing contract, establishing a three-year initial term with two potential one-year renewal options. Any architectural firm selected for this procurement must provide the completed affidavit prior to contract execution to comply with Florida law. The form serves as a prerequisite compliance document and does not contain pricing terms, set-asides, or funding information, functioning instead as a mandatory labor and services certification required across all state and local government contracts in Florida.

View the file

Other files for this state and local contract opportunity

Other files attached to Architectural Services Continuing Contract, newest first.
File Type Posted
Architectural_Services_Continuing_Contract_(Addendum_#2_Revision).pdf PDF
Architectural_Services_Continuing_Contract_(Addendum_#2_Revision).pdf PDF
Architectural_Services_Continuing_Contract.pdf PDF
SRF_SupplementaryConditions_Construction_Contract_(August_2022).pdf PDF
525-010-46-LAP_CERTIFICATION_OF_CURRENT_CAPACITY.pdf PDF
575-060-13-NON-COLLUSION_DECLARATION_AND_COMPLIANCE_WITH_49_CFR_29.pdf PDF
FHWA-1273_(10_23)_.pdf PDF
275-030-11-DBE_BID_PACKAGE_INFORMATION.pdf PDF
2_CFR_Part_200_app_II_(up_to_date_as_of_4-28-2025).pdf PDF
FHWA-1273_(10_23)_.pdf PDF
275-030-11-DBE_BID_PACKAGE_INFORMATION.pdf PDF
375-030-34-DISCLOSURE_OF_LOBBYING_ACTIVITIES.pdf PDF
SRF_SupplementaryConditions_EM_Contract_(August_2022).pdf PDF
275-030-11-DBE_BID_PACKAGE_INFORMATION.pdf PDF
375-030-31_Affidavit_Regarding_Labor_and_Services.docx DOCX document
375-040-84-LAP_PROFESSIONAL_SERVICES_TERMS.pdf PDF
Notice_of_Award.docx DOCX document
SRF_SupplementaryConditions_Construction_Contract_(August_2022).pdf PDF
SRF_SupplementaryConditions_EM_Contract_(August_2022).pdf PDF
375-030-31_Affidavit_Regarding_Labor_and_Services.docx DOCX document
525-010-46-LAP_CERTIFICATION_OF_CURRENT_CAPACITY.pdf PDF
BABA_Form.pdf PDF
Notice_of_Award.docx DOCX document
370-040-24-MBE_PLANNED_UTILIZATION.pdf PDF
375-040-84-LAP_PROFESSIONAL_SERVICES_TERMS.pdf PDF
FHWA-1273_(10_23)_.pdf PDF
Notice_of_Award.docx DOCX document
2_CFR_Part_200_app_II_(up_to_date_as_of_4-28-2025).pdf PDF
BABA_Form.pdf PDF
370-040-24-MBE_PLANNED_UTILIZATION.pdf PDF
375-030-34-DISCLOSURE_OF_LOBBYING_ACTIVITIES.pdf PDF
375-040-84-LAP_PROFESSIONAL_SERVICES_TERMS.pdf PDF
575-060-13-NON-COLLUSION_DECLARATION_AND_COMPLIANCE_WITH_49_CFR_29.pdf PDF
SRF_SupplementaryConditions_Construction_Contract_(August_2022).pdf PDF
SRF_SupplementaryConditions_EM_Contract_(August_2022).pdf PDF
2_CFR_Part_200_app_II_(up_to_date_as_of_4-28-2025).pdf PDF
525-010-46-LAP_CERTIFICATION_OF_CURRENT_CAPACITY.pdf PDF
575-060-13-NON-COLLUSION_DECLARATION_AND_COMPLIANCE_WITH_49_CFR_29.pdf PDF
BABA_Form.pdf PDF
370-040-24-MBE_PLANNED_UTILIZATION.pdf PDF
375-030-34-DISCLOSURE_OF_LOBBYING_ACTIVITIES.pdf PDF
w37503083_(3).docx DOCX document
w37503083_(3).docx DOCX document
Checklist_Solicitation.xlsx XLSX spreadsheet
375-030-33-DISCLOSE_OF_LOBBY_ACTIVITIES.pdf PDF
375-030-33-DISCLOSE_OF_LOBBY_ACTIVITIES.pdf PDF
Checklist_Solicitation.xlsx XLSX spreadsheet
375-030-33-DISCLOSE_OF_LOBBY_ACTIVITIES.pdf PDF
w37503083_(3).docx DOCX document
Checklist_Solicitation.xlsx XLSX spreadsheet
Show all 50

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 .