Affidavit Regarding Labor and Services.pdf

PDF 6 KB Posted

Attached to
Traffic Signal Modification and Repair Services for District 7.
Solicitation number
ITB-09490
Issued by
Hillsborough County, Florida

About this file

This document is an Affidavit Regarding Labor and Services required by the Florida Department of Transportation (FDOT) for a state and local contract opportunity. The contract opportunity is for Traffic Signal Modification and Repair Services for FDOT District 7. The solicitation includes multiple addenda and requires bidders to be registered in the State of Florida's MyFloridaMarketplace system and properly licensed if the work requires licensing by the Florida Department of Business and Professional Regulation. The solicitation prohibits communication between bidders and agency employees or officers during the procurement process, except in writing to the procurement officer. The contract will be subject to an MFMP Transaction Fee.

The contract opportunity is open to competitive sealed bids from qualified vendors. No other specific pricing terms, set asides, incumbents, funding requirements or sources, or contract amounts are provided in the document. The contract term and any renewal options are also not specified.

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Other files

File Type Posted
ADDENDUM #2.pdf PDF
ADDENDUM #3.pdf PDF
ADDENDUM #4.pdf PDF
ADDENDUM #4 - REVISED.pdf PDF
ADDENDUM #5.pdf PDF
ADDENDUM #1.pdf PDF
DOT-ITB-24-7023-EG - ITB PACKAGE.pdf PDF

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Text version

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

AFFIDAVIT REGARDING LABOR AND SERVICES

375-030-31

PROCUREMENT

07/24

Effective July 1, 2024, pursuant to §787.06(13), Florida Statutes, when a contract is executed, renewed, or extended between a nongovernmental entity and a governmental entity, the nongovernmental entity must provide the governmental entity with an affidavit signed by an officer or a representative of the nongovernmental entity under penalty of perjury attesting that the nongovernmental entity does not use coercion for labor or services.

Nongovernmental Entity's Name:

Address:

Phone Number:

Authorized Representative’s Name:

Authorized Representative’s Title:

Email Address:

AFFIDAVIT

I, insert nongovernmental entity's authorized representative name, as authorized representative attest that insert nongovernmental entity's namedoes not use coercion for labor or services as defined in §787.06, Florida Statutes.

Under penalty of perjury, I declare that I have read the foregoing Affidavit and that the facts stated in it are true.

(Signature of authorized representative) Date

STATE OF FLORIDA

COUNTY OF

Sworn to (or affirmed) and subscribed before me, by means of physical presence or online notarization, this day of , (year), by

Notary Public, not required when digital

Commission Expires Personally Known OR Produced Identification Type of Identification Produced

File details come from the government source that posted it. Updated .