Anti-Human_Trafficking_Affidavit.pdf

PDF 77 KB Posted

Attached to
Pick Up, Disposal, and Recycling of Used Oils, Etc.
Solicitation number
Q-RTSX2603
Issued by
Alachua County, Graceville City, Florida

About this file

This document is an Affidavit of Compliance with Section 787.06(13) for Florida's Anti-Human Trafficking Provisions, specifically designed for non-governmental vendors executing, renewing, or extending a contract. The affidavit requires a contractor's representative to swear and affirm that their organization does not use coercion for labor or services as defined under Florida Statute 787.06(13). The affiant must certify under penalty of perjury that all statements and facts in the document and any attachments are true and correct to the best of their knowledge.

The affidavit is a standard legal form requiring notarization, with spaces for the state and county, the contractor's representative's full legal name, signature, and date. The document must be signed in the presence of a notary public, who will verify the identity of the signatory either through personal knowledge or by examining presented identification. This form appears to be a mandatory compliance document for the referenced contract opportunity related to pick up, disposal, and recycling of used oils and hazardous materials for a City's Regional Transit System and Fleet Management Department.

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Text version

AFFIDAVIT OF COMPLIANCE WITH SECTION 787.06(13) –

FLORIDA ANTI-HUMAN TRAFFICKING PROVISIONS

(To be used when a contract is executed, renewed or extended) (Required only for non-governmental vendors)

STATE OF __________________

COUNTY OF________________

I, {full legal name} _____________________________________, swear and affirm that

I am an officer or a representative of the Contractor and that the [Contractor Name] does not use coercion for labor or services as those terms are defined in Section

787.06(13), Fla. Stat.

AFFIANT HEREBY CERTIFIES UNDER PENALTY OF PERJURY THAT THE

STATEMENTS AND FACTS IN THIS AFFIDAVIT AND IN ANY ATTACHMENTS ARE

TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.

Dated: ___________________ Signature of Affiant: ________________________

Sworn to or affirmed and signed before me on__________ by ___________________ who ____ is personally known to me or ___ presented _________________________, as identification.

Notary Public, State of ________________

My commission expires: _______________

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