7 Human Trafficking Affidavit for Nongovernmental Entities.pdf
PDF 919 KB Posted
- Attached to
- Electrician Services State and local contract opportunity
- Solicitation number
- 25-02-SP
- Issued by
- Santa Rosa County, Florida
About this file
This document is an Affidavit Regarding the Use of Coercion for Labor and Services from Santa Rosa County District Schools, specifically designed to comply with Section 787.06(13) of Florida Statutes. The form requires nongovernmental entities executing, renewing, or extending a contract with a governmental entity (in this case, the Santa Rosa County School Board) to provide a signed affidavit certifying that they do not engage in coercive labor practices.
The affidavit mandates that the vendor affirm they will not use physical force, restrain or isolate individuals without lawful authority, exploit labor through debt mechanisms, confiscate identification documents, cause financial harm, entice through fraud, or provide controlled substances for exploitation. The vendor must immediately notify the school board if any coercive practices are discovered, and no contract can be executed or renewed if such practices occur. The document is intended to be signed under penalty of perjury by an authorized representative of the vendor, with space provided for vendor details, signature, printed name, title, and date.
View the file
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|---|---|---|
| 6 E-Verify Requirements Att. w. hyperlink.pdf | ||
| RFP 25-05-SP Electrician Services Solicitation.pdf | ||
| 2 Drug Free Work Place Forms.pdf | ||
| 3 Sworn Statement on Public Entity Crimes.pdf | ||
| 1 RFP Proposal Form.pdf | ||
| 4a Certification Regarding Lobbying Form.pdf | ||
| 4b Disclosure of Lobbying Activities Form.pdf | ||
| 5 Conflict of Interest Certification.pdf | ||
| Pricing Attachment.pdf | ||
| Pricing Attachment.xlsx | XLSX spreadsheet |
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Text version
Santa Rosa County District Schools
Affidavit Regarding the Use of Coercion for Labor and Services
Respondent Vendor Name:
Vendor FEIN:
Vendor's Authorized Representative Name and Title:
Address:
City: State: ZIP:
Phone Number:
Email Address:
Section 787.06(13), Florida Statutes requires all nongovernmental entities (such as Vendor) executing, renewing, or extending a contract with a governmental entity (such as the School Board of Santa Rosa County, Florida) to provide an affidavit signed by an officer or representative of the nongovernmental entity under penalty of perjury that the nongovernmental entity does not use coercion for labor or services as defined in that statute. The Santa Rosa County School Board is a governmental entity for purposes of this statute.
As the person authorized to sign on behalf of Respondent, I certify that the company identified does not:
• Use or threaten to use physical force against any person;
• Restrain, isolate, or confine or threaten to restrain, isolate, or confine any person without lawful authority and against her or his will;
• Use lending or other credit methods to establish a debt by any person when labor or services are pledged as a security for the debt, if the value of the labor or services as reasonably assessed is not applied toward the liquidation of the debt, the length and nature of the labor or services are not respectively limited and defined;
• Destroy, conceal, remove, confiscate, withhold, or possess any actual or purported passport, visa, or other immigration document, or any other actual or purported government identification document, of any person;
• Cause or threaten to cause financial harm to any person;
• Entice or lure any person by fraud or deceit; or
• Provide a controlled substance as outlined in Schedule I or Schedule II of s. 893.03 to any person for the purpose of exploitation of that person.
If, at any time in the future, the Nongovernmental Entity does use coercion for labor or services, the Nongovernmental Entity will immediately notify the Governmental Entity and no contract may be executed, renewed, or extended between the parties.
Under penalties of perjury, I declare that I have read the foregoing document and that the facts stated in it are true.
By:
AUTHORIZED SIGNATURE
Print Name and Title:
Date:
Revised 07 25 24
| Respondent Vendor Name: |
| Vendor FEIN: |
| Vendors Authorized Representative Name and Title: |
| Address: |
| City: |
| Phone Number: |
| Email Address: |
| Print Name and Title: |
| Date: |
| State: |
| Zip Code: |
File details come from the government source that posted it. Updated .