Anti-Human_Trafficking_Affidavit.pdf
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- Solicitation number
- PWDA-260010-SM
- Issued by
- Alachua County, Glencoe CDP, Florida
About this file
This document is an Affidavit of Compliance with Section 787.06(13) related to Florida Anti-Human Trafficking Provisions, specifically designed for non-governmental vendors when executing, renewing, or extending a contract. The affidavit requires a contractor's representative to swear and affirm that the company does not use coercion for labor or services as defined in the referenced Florida statute.
The affidavit is a legal document that must be signed and notarized, with the affiant certifying 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 form includes spaces for the state and county, the full legal name of the affiant, the contractor's name, the date, signature of the affiant, and notary public details including commission expiration.
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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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