Affidavit Regarding Labor & Services.pdf

This is an Affidavit Regarding Labor and Services form required by the Florida Department of Transportation (FDOT) for a data network structured cabling system procurement serving FDOT District 4 and District 6 Materials & Research Office in Davie, Florida. The affidavit must be completed and executed by an authorized representative of any nongovernmental entity that executes, renews, or extends a contract with FDOT, effective July 1, 2024, pursuant to Florida Statutes Section 787.06(13). The form requires the authorized representative to attest under penalty of perjury that the nongovernmental entity does not use coercion for labor or services as defined in Florida law. The affidavit must be signed by the authorized representative and notarized, with the notary public certifying the identity of the signer through physical presence or online notarization.

The form is a standard compliance document with no pricing, budgetary, or timeline information specific to this particular affidavit. However, as a required submission element for the structured cabling project, the affidavit must be submitted along with other bidding documents by the February 25, 2026, bid deadline at 10:30 AM. The document includes fields for the nongovernmental entity's name, address, phone number, authorized representative's name and title, email address, and notary certification details, and serves as a precondition to contract award and execution for any vendor selected for this procurement.