375-030-31_Affidavit_Regarding_Labor_and_Services.docx

This is an Affidavit Regarding Labor and Services form issued by the Florida Department of Transportation (FDOT) for use in state and local contract procurements. The affidavit is required when a nongovernmental entity executes, renews, or extends a contract with a governmental entity, effective July 1, 2024, pursuant to Florida Statutes 787.06(13). The document serves as a compliance instrument requiring an authorized representative of the nongovernmental entity to attest under penalty of perjury that the entity does not use coercion for labor or services as defined in state law. The form requires completion of basic entity information including the nongovernmental entity's name, address, phone number, authorized representative's name, title, and email address. The affidavit must be signed by the authorized representative and notarized, with the notary public certifying the execution through either physical presence or online notarization.

This form is specifically applicable to the Fort Myers Downtown Pedestrian Mall and Micromobility Feasibility Study (FDOT Project 451523-1-18-01), where the City of Fort Myers and FDOT are seeking a qualified consultant. All responding consultants must complete and submit this affidavit as part of their proposal compliance requirements. The affidavit is a mandatory precondition for contract award and does not require payment from the responding entity; rather, it represents a statutory attestation of ethical labor practices. The form functions as a human trafficking prevention measure aligned with federal and state requirements that all contract respondents must meet before contract execution.