375-030-31_Affidavit_Regarding_Labor_and_Services.docx

This is an Affidavit Regarding Labor and Services form required by the Florida Department of Transportation (FDOT) for the City of Fort Myers' South Street Sidewalk Construction project (FDOT 438101-2-58-01). The affidavit must be completed and submitted by any nongovernmental entity executing, renewing, or extending a contract with the City in connection with this project. The form requires the contractor to attest under penalty of perjury that the nongovernmental entity does not use coercion for labor or services as defined in Florida Statutes 787.06. The affidavit must be signed by an authorized representative of the contractor and notarized, either through physical presence or online notarization. The project itself involves construction of a 6-inch thick, 5-foot wide, 3,000-foot long sidewalk on the north side of South Street from US 41/Cleveland Avenue to SR 739/Fowler Street in Fort Myers, Florida.

The affidavit form became effective July 1, 2024, and serves as a compliance document required at contract execution, renewal, or extension. All contractors must provide the completed, sworn affidavit to the City of Fort Myers prior to contract award or during the contracting process. The form requires disclosure of the nongovernmental entity's name, address, phone number, and the authorized representative's name, title, and email address. No specific pricing, funding amounts, or contract terms are detailed in this affidavit document, as it functions solely as a mandatory attestation regarding labor practices and coercion compliance under Florida state law.