8-HUMAN TRAFFICKING AFFIDAVIT.pdf

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Attached to
Pond Improvements Cadillac Drive & RJ Conlan
Solicitation number
33-ITB-26
Issued by
Brevard County, Florida

About this file

This is a Human Trafficking Affidavit required by the State of Florida for the Pond Improvements Cadillac Drive & RJ Conlan contract opportunity. The affidavit is a declaration form to be completed by an authorized representative of the bidding or contracting company, requiring the signatory to confirm their role within the company and attest that the company does not use coercion for labor or services as defined under Florida Statute 787.06. The declaration is made pursuant to Florida Statute 92.525, with the signatory certifying under penalties of perjury that all facts stated in the affidavit are true and accurate.

The affidavit requires the completion of specific fields including the signatory's role, the company name, and the signatory's printed name and title, along with an authorized signature. False statements made in this declaration may subject the signatory to criminal penalties. This document serves as a compliance requirement for state and local contracting in Florida and must be submitted as part of the bidding or contracting process for the referenced pond improvement project.

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Text version

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 .