375-030-31_Affidavit_Regarding_Labor_and_Services.docx

This is an Affidavit Regarding Labor and Services form issued by the State of Florida Department of Transportation for Procurement 375-030-31, effective July 1, 2024. The affidavit is required under Florida Statutes 787.06(13) when a nongovernmental entity executes, renews, or extends a contract with a governmental entity. The form requires the nongovernmental entity to provide a signed affidavit from an authorized officer or representative attesting under penalty of perjury that the entity does not use coercion for labor or services as defined by Florida law.

The affidavit document includes fields for the nongovernmental entity's name, address, phone number, authorized representative's name, title, and email address. The authorized representative must sign the affidavit declaring that the facts stated are true under penalty of perjury. The document must be notarized, with the notary public indicating whether the signer appeared in physical presence or by online notarization, and noting whether the signer was personally known or produced identification. This affidavit form is a mandatory compliance document that applies to all nongovernmental entities entering into contracts with governmental entities in Florida as of the effective date.