7-HUMAN TRAFFICKING AFFIDAVIT.pdf

PDF 243 KB Posted

Attached to
Building E Third Floor Buildout
Solicitation number
53-ITB-26
Issued by
Brevard County, Florida

About this file

This is a Human Trafficking Affidavit required by Florida Statute 92.525 for the Building E Third Floor Buildout project in Florida. The affidavit serves as a mandatory declaration by an authorized company representative confirming that the bidding or contracting company does not engage in labor coercion or human trafficking as defined under Florida Statute 787.06. The affidavit requires completion of basic company information, including the signatory's role within the organization, and must be signed by an authorized representative who attests under penalty of perjury to the truthfulness of the declaration.

The affidavit is a compliance document with no pricing, funding, or project-specific terms. Completion and submission of this form is a prerequisite for participation in the contract opportunity. False statements in the affidavit expose signatories to criminal penalties under Florida law. This document is a standard requirement for state and local contracting in Florida and applies equally to all bidders regardless of company size or specialization.

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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 .