7-Affidavit Regarding Labor & Services.docx
DOCX document 23 KB Posted
- Attached to
- DISTRICTWIDE DATA NETWORK STRUCTURED CABLING SYSTEM FOR FLORIDA DEPARTMENT OF TRANSPORTATION DISTRIC
- Solicitation number
- ITB-10100
- Issued by
- Broward County, Fruitville CDP, Florida
About this file
This document is an Affidavit Regarding Labor and Services from the Florida Department of Transportation (FDOT). Effective July 1, 2024, nongovernmental entities contracting with governmental entities in Florida must provide an affidavit attesting that they do not use coercion for labor or services. The affidavit must be signed by an authorized representative under penalty of perjury.
The related state and local contract opportunity is for a DISTRICTWIDE DATA NETWORK STRUCTURED CABLING SYSTEM for FDOT District 4. This is a competitive sealed bid, proposal, or reply for the procurement of these services. All bidders, proposers, and respondents must be registered in Florida's MyFloridaMarketplace system and properly licensed if the business requires it. The solicitation includes public meeting notices and agendas, and the contract will be subject to the MFMP Transaction Fee. Florida's Scrutinized Companies Lists restrictions also apply to this opportunity.
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Text version
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
AFFIDAVIT REGARDING LABOR AND SERVICES
375-030-31
PROCUREMENT
07/24
Effective July 1, 2024, pursuant to §787.06(13), Florida Statutes, when a contract is executed, renewed, or extended between a nongovernmental entity and a governmental entity, the nongovernmental entity must provide the governmental entity with an affidavit signed by an officer or a representative of the nongovernmental entity under penalty of perjury attesting that the nongovernmental entity does not use coercion for labor or services.
| Nongovernmental Entity's Name: |
| Address: |
| Phone Number: |
| Authorized Representative’s Name: |
| Authorized Representative’s Title: |
| Email Address: |
AFFIDAVIT
I, insert nongovernmental entity's authorized representative name, as authorized representative attest that insert nongovernmental entity's namedoes not use coercion for labor or services as defined in §787.06, Florida Statutes.
Under penalty of perjury, I declare that I have read the foregoing Affidavit and that the facts stated in it are true.
| (Signature of authorized representative) |
| Date |
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me, by means of |_| physical presence or |_|online notarization, this day of , (year), by
Notary Public, not required when digital
Commission Expires
Personally Known |_| OR Produced Identification |_| Type of Identification Produced
File details come from the government source that posted it. Updated .