7-Affidavit Regarding Labor & Services.pdf

PDF 8 KB Posted

Attached to
DISTRICTWIDE IMPLEMENTATION AND MAINTENANCE OF NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDE
Solicitation number
RFP-12807
Issued by
Broward County, Graceville City, Florida

About this file

Written by GovTribe AI ·

This document is an Affidavit form issued by the State of Florida Department of Transportation (FDOT) for nongovernmental entities entering into contracts with governmental entities. Effective July 1, 2024, the form requires nongovernmental entities to provide an affidavit signed by an authorized representative attesting that they do not use coercion for labor or services, as defined in §787.06, Florida Statutes. The affidavit must be signed under penalty of perjury and includes spaces for the nongovernmental entity's name, address, contact information, and authorized representative details.

The form is a legal compliance document that must be completed when a contract is executed, renewed, or extended between a nongovernmental and a governmental entity in Florida. It serves as a sworn statement ensuring that the contracting nongovernmental entity adheres to labor standards and does not engage in coercive labor practices. The document includes a notarization section to validate the authenticity of the affidavit, with options for physical presence or online notarization, and requires the notary to confirm the identity of the signing representative.

View the file

Other files

File Type Posted
4-Exhibit B - Method of Compensation (Sample).pdf PDF
1-Request For Proposal (Shell).pdf PDF
Exhibit C1- Price Proposal Form Rev 7.17.25.xlsx XLSX spreadsheet
6-Exhibit C2 - MFMP Transaction Fee.pdf PDF
Attached Forms.pdf PDF
2-Standard Written Agreement (Sample).pdf PDF
5-Exhibit C1- Price Proposal Form.xlsx XLSX spreadsheet
3-Exhibit A - Scope of Services Rev 7.17.25.pdf PDF
1-Addendum No. 3.pdf PDF
1-RFPshell Rev. 8-12-2025.pdf PDF
1-Request For Proposal (Shell) Rev. 7.9.25.pdf PDF
1-Addendum No. 1.pdf PDF
3-Exhibit A - Scope of Services.pdf PDF
1-Addendum No. 4.pdf PDF
1-Addendum No. 2.pdf PDF
Show all 15

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

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 .