5-5.REQUIRED HUMAN TRAFFICKING AFFIDAVIT.pdf

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Attached to
Substation Battery Replacement
Solicitation number
IFB-015-26-RM
Issued by
Leon County, Florida

About this file

This is a Nongovernmental Entity Human Trafficking Affidavit required by the City of Tallahassee, Florida for the Substation Battery Replacement contract opportunity. The affidavit is a mandatory compliance document that must be completed, signed, and notarized by an officer or representative of any bidding entity. The declarant must attest under penalty of perjury that the entity does not use coercion for labor or services as defined in Section 787.06 of the Florida Statutes. The form requires the entity name, notarization details including the date, method of notarization (physical presence or online), the notary's identification of the signatory, and the notary's seal and signature.

This affidavit is a prerequisite submission for the battery replacement project, which involves replacing multiple 125VDC nicad substation battery strings with approximately two battery banks per year over a three to five-year period. Bidders must complete and submit this human trafficking compliance document as part of their bid package. The affidavit template includes blanks for the IFB number, entity information, notary jurisdiction details, and identification type. All completed affidavits must be notarized and submitted with bid proposals to demonstrate the contractor's compliance with Florida's human trafficking statutes and the City of Tallahassee's procurement requirements.

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Text version

IFB No.: ____________________________

NONGOVERNMENTAL ENTITY

HUMAN TRAFFICKING AFFIDAVIT

Section 787.06(13), Florida Statutes

THIS AFFIDAVIT MUST BE SIGNED AND NOTARIZED

I, the undersigned, am an officer or representative of _______________________________ and attest that said entity does not use coercion for labor or services as defined in section 787.06, Florida Statutes. Under penalty of perjury, I hereby declare and affirm, to the best of my knowledge and belief, that the above stated facts are true and correct.

Entity Name: _____________________________

Signature Title

STATE OF __________________________

COUNTY OF ___________________________

SWORN TO AND SUBSCRIBED before me by means of

___physical presence or ___online notarization this ______ day of ________________, 2024.

They are ____personally known to me or has produced _______________________ (Type of Identification) as identification.

(Notary Seal) Notary Public

Print, Type or Stamp Name of Notary

File details come from the government source that posted it. Updated .