Anti-Human_Trafficking_Affidavit.pdf
PDF 77 KB Posted
- Solicitation number
- RTSX-260016-DS
- Issued by
- Alachua County, Graceville City, Florida
About this file
The document is an Affidavit of Compliance with Section 787.06(13) – Florida Anti-Human Trafficking Provisions, designed for non-governmental vendors to certify their compliance with state labor regulations. The form requires an officer or representative of a contractor to swear and affirm that their organization does not use coercion for labor or services as defined in the referenced Florida statute. The affidavit must be signed, dated, and notarized, with the affiant certifying under penalty of perjury that all statements and attachments are true and correct to the best of their knowledge.
The document is a legal compliance form that serves as a sworn statement to prevent human trafficking in contractual relationships. It is specifically intended for use when a contract is executed, renewed, or extended, and applies only to non-governmental vendors. The form provides space for the contractor's name, state and county of registration, and requires the signature of both the affiant and a notary public, who will verify the identity of the person signing the document.
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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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