4-HUMAN TRAFFICKING AFFIDAVIT.pdf
PDF 243 KB Posted
- Attached to
- Lockbox Services
- Solicitation number
- 42-ITB-26
- Issued by
- Brevard County, Florida
About this file
This is a Human Trafficking Affidavit document required by the City of Palm Bay, Florida for the Lockbox Services contract opportunity. The affidavit serves as a declaration by an authorized representative of a bidding company, confirming compliance with Florida Statute 787.06 regarding labor practices. The signatory must certify that they are over 18 years of age, have personal knowledge of the company's operations, and confirm that the company does not use coercion for labor or services. The document requires the contractor to identify their role, company name, authorized signature, printed name, title, and company affiliation.
This affidavit is executed under penalty of perjury pursuant to Florida Statute 92.525, with the understanding that false statements may result in criminal penalties. The document is a standard compliance requirement for state and local contracts in Florida and serves as a contractual safeguard to ensure vendors maintain ethical labor practices and do not engage in human trafficking or coercive labor practices.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 8-42-ITB-26 Lockbox Services Bid Form.xlsx | XLSX spreadsheet | |
| 5-STANDARD TERMS CONDITIONS.pdf | ||
| 3-REFERENCES.pdf | ||
| 7-42-ITB-26 Exhibit 1.pdf | ||
| 9-Lockbox Insurance.pdf | ||
| 6-DRAFT AGREEMENT.docx | DOCX document | |
| 1-NON-COLLUSION AFFIDAVIT.pdf | ||
| 2-DRUG FREE WORKPLACE.pdf |
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Text version
HUMAN TRAFFICKING AFFIDAVIT
1. I am over the age of 18 and I have personal knowledge of the matters set forth except as otherwise set forth herein.
2. I currently service ___________________ (Role) of __________________________(Company).
3. ______________________________ (Company) does not use coercion for labor or services, as those terms are defined in Florida Statute 787.06.
4. This declaration is made pursuant to Florida Statute 92.525. I understand that making a false statement in this declaration may subject me to criminal penalties.
Under penalties of perjury, I ___________________________________________ (Signatory Name and
Title), declare that I have read the foregoing Human Trafficking Affidavit and that the facts stated in it are true.
Authorized Signature
Printed Name & Title
Company
File details come from the government source that posted it. Updated .