8-HUMAN TRAFFICKING AFFIDAVIT.pdf

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

About this file

This is a Human Trafficking Affidavit form required by the State of Florida for the Pond Improvements Cadillac Drive & RJ Conlan Re-Bid contract opportunity. The affidavit serves as a mandatory declaration that must be completed and signed by an authorized representative of any company bidding on or servicing this state and local contract opportunity in Florida.

The affidavit requires the signatory to confirm they are over 18 years of age, identify their role and company name, and declare under penalty of perjury that their company does not use coercion for labor or services as defined in Florida Statute 787.06. The declaration is made pursuant to Florida Statute 92.525, and signatories are advised that false statements may result in criminal penalties. The form requires the authorized signature, printed name, title, and company name of the declaring party.

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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 .