4-HUMAN TRAFFICKING AFFIDAVIT.pdf

This is a Human Trafficking Affidavit form required by the City of Palm Bay, Florida for the North Regional Water Treatment Plant (NRWTP) Lime Slurry Feed Pump Replacement project. The affidavit serves as a compliance certification in which an authorized company representative confirms that the company does not use coercion for labor or services as defined under Florida Statute 787.06. The signatory must be over 18 years of age, possess personal knowledge of the company's practices, and execute the declaration under penalties of perjury pursuant to Florida Statute 92.525. The form requires completion of the company name, the signatory's role, printed name and title, authorized signature, and company information.

This affidavit is a mandatory compliance document for bidders on the contract and reflects Florida's statutory requirement to combat human trafficking through contractor certification. False statements made in the affidavit carry criminal penalties. The form does not contain pricing information, contract terms, timeline details, or performance specifications; rather, it functions as a pre-qualification attestation that must be submitted as part of the bidding process to demonstrate the contractor's commitment to lawful labor practices.