375-030-31_Affidavit_Regarding_Labor_and_Services.docx

This affidavit form is required by the State of Florida Department of Transportation for all contracts executed, renewed, or extended between nongovernmental entities and governmental entities, effective July 1, 2024. The affidavit must be completed and notarized by an authorized representative of the nongovernmental entity attesting under penalty of perjury that the entity does not use coercion for labor or services as defined in Florida Statutes Section 787.06. The form requires the submission of the nongovernmental entity's name, address, phone number, and the authorized representative's name, title, and email address. The affidavit must be sworn to or affirmed before a notary public, either through physical presence or online notarization, with the notary documenting the date, method of identification verification, and commission expiration date.

This affidavit is applicable to the City of Fort Myers' solicitation for Sanitary Sewer Evaluation Survey Program On-Call Contractors for Lift Station Lining (RSQ 25-096). All contractors selected to provide wetwell lining services and related infrastructure services must submit this executed affidavit as part of their contract documentation. The affidavit requirement underscores the City's commitment to ethical labor practices and compliance with Florida statutory requirements for all vendors engaging in public sector work within the state.