8-HUMAN TRAFFICKING AFFIDAVIT.pdf
PDF 243 KB Posted
- Attached to
- Fred Poppe Regional Park Bridge and New Roadway
- Solicitation number
- 46-ITB-26
- Issued by
- Brevard County, Florida
About this file
This is a Human Trafficking Affidavit form required for state and local contract opportunities in Florida, specifically for the Fred Poppe Regional Park Bridge and New Roadway project. The affidavit serves as a declaration by an authorized representative of a bidding company confirming compliance with anti-human trafficking requirements. The signatory, who must be over 18 years of age, certifies that the company does not use coercion for labor or services as defined under Florida Statute 787.06. The form requires the individual to provide their role, name, title, and company name, along with an authorized signature. The declaration is made pursuant to Florida Statute 92.525, and signatories are advised that false statements may subject them to criminal penalties under perjury laws.
This affidavit is a mandatory compliance document that bidders must complete and submit as part of the contracting process for Florida state and local government projects. No specific pricing, set-asides, funding amounts, or contract terms are detailed in this form, as it functions solely as a certification of the contractor's commitment to preventing human trafficking and labor coercion. The affidavit represents Florida's statutory requirement to ensure ethical labor practices among vendors and contractors engaged in public works projects.
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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
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