Affidavit Regarding Labor & Services.docx
DOCX document 23 KB Posted
- Attached to
- DISTRICT WIDE TITLE SEARCH AND EXAMINATION SERVICES FOR FLORIDA DEPARTMENT OF TRANSPORTATION – DISTR
- Solicitation number
- RFP-10374
- Issued by
- Broward County, Graceville City, Florida
About this file
The document is an Affidavit Regarding Labor and Services from the Florida Department of Transportation. Effective July 1, 2024, this affidavit must be provided by nongovernmental entities when contracting with governmental entities in Florida, attesting that the entity does not use coercion for labor or services. The related state and local contract opportunity is for District-Wide Title Search and Examination Services for the Florida Department of Transportation - District Four. This is a competitive sealed bid, proposal, or reply solicitation open to registered vendors in the State of Florida's MyFloridaMarketplace system.
The solicitation includes requirements for out-of-state businesses, proper licensing, public meeting notices, and compliance with nondiscrimination statutes and authorities such as Title VI of the Civil Rights Act of 1964. It also prohibits contracting with companies on the Scrutinized Companies Lists and requires compliance with the MFMP Transaction Fee. The contract term and any renewal options are not specified.
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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 .