9-Form 7. Affidavit HumanTrafficking CAO Final.docx
DOCX document 24 KB Posted
- Attached to
- Senior Center Roof Project
- Solicitation number
- IFB-032-26-KM
- Issued by
- Leon County, Florida
About this file
This is a Human Trafficking Attestation Form required by the City of Tallahassee for nongovernmental entities executing, renewing, or extending contracts with the municipality. The attestation applies to the Senior Center Roof Project, a roof replacement initiative at 1400 N Monroe Street in Tallahassee, Florida. The project scope includes cleaning and patching the existing mineral surface low slope roofing system, removing parapet wall base flashing, and installing an 80 mil polyvinyl chloride (PVC) fleece-backed cap sheet roofing and 60 mil PVC flashing membrane system with high solar reflectance index (SRI) specifications in accordance with roofing manufacturer requirements.
The attestation requires an authorized officer or representative of the contractor to certify under penalty of perjury that the entity does not use coercion for labor or services as defined under Section 787.06 of the Florida Statutes. The signatory must confirm personal knowledge of the entity's compliance, acknowledge understanding of perjury penalties for false statements, and commit to immediate notification to the City of Tallahassee if any future violation occurs. No contracts may be executed, renewed, or extended between the parties if coercion for labor is discovered. The form requires completion of entity name, signatory printed name, title, signature, and date, with version control noted as 4/10/25.
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Text version
ATTESTATION IN COMPLIANCE WITH SECTION 787.06(13), FLORIDA STATUTES
In accordance with Section 787.06(13), Florida Statutes, this attestation must be completed by an officer or representative of a nongovernmental entity that is executing, renewing or extending a contract with the City of Tallahassee.
The undersigned, on behalf of the nongovernmental entity referenced below (“Entity”), hereby attests under penalty of perjury that:
1. I am over eighteen years of age. The following information is given from my own personal knowledge.
2. I am an officer or representative of the Entity.
3. The Entity does not use coercion for labor or services as defined in Section 787.06, Florida Statutes.
4. If, at any time in the future, Entity uses coercion for labor or services, Entity will immediately notify the City of Tallahassee and no contracts may be executed, renewed, or extended between the parties.
5. I understand that I am swearing or affirming under penalties of perjury to the truthfulness of the claims made in this attestation and that the punishment for knowingly making a false statement in this declaration may subject me to criminal penalties.
6. I am authorized to provide this attestation on behalf of Entity.
7. I have read the foregoing attestation, and the Entity confirms that the facts stated in it are true, and are made for the benefit of, and reliance by, the City of Tallahassee.
Nongovernmental Entity:
Printed Name:
Title:
Signature:
Date:
Ver. 4/10/25
File details come from the government source that posted it. Updated .