Anti-Human_Trafficking_Affidavit.pdf
PDF 77 KB Posted
- Attached to
- Sweetwater Duck Pond Maintenance
- Solicitation number
- PWDA-260008-SM
- Issued by
- Alachua County, Graceville City, Florida
About this file
This document is an Affidavit of Compliance with Section 787.06(13) - Florida Anti-Human Trafficking Provisions, designed for non-governmental vendors executing, renewing, or extending a contract. The form requires a contractor's representative to swear and affirm that their organization does not use coercion for labor or services as defined in the specified Florida statute.
The affidavit is a legal document that must be signed under penalty of perjury, with the contractor's representative certifying the truthfulness of their statements. It requires notarization, with the affiant either being personally known to the notary or presenting acceptable identification. The form provides space for the state and county of execution, the full legal name of the representative, the contractor's name, date of signing, and the notary's commission details.
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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: _______________
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