Anti-Human_Trafficking_Affidavit.pdf
PDF 167 KB Posted
- Attached to
- West Sunset Lift Station
- Solicitation number
- ITB WS 79-26
- Issued by
- Okaloosa County, Florida
About this file
This is an Anti-Human Trafficking Affidavit required by Okaloosa County, Florida for all nongovernmental entities that contract, renew, or extend contracts with the county. The affidavit is mandatory under Florida Statute Section 787.06(13), effective July 1, 2024, and must be executed by an officer or representative of the contracting entity. The document pertains to the West Sunset Lift Station project, wherein the Board of County Commissioners of Okaloosa County is seeking a contractor to furnish and install a tremie style wetwell along with pumps and electrical systems to replace an existing lift station. The affidavit requires the executing officer to attest, under penalty of perjury, that they are over 21 years of age and have personal knowledge of the entity's labor practices.
The affidavit mandates that the contracting nongovernmental entity does not use coercion for labor or services as defined under Florida Statutes Section 787.06(2)(a). The entity must certify it does not engage in seven specific prohibited actions: using or threatening physical force against persons; restraining, isolating, or confining persons without lawful authority; establishing debt through pledged labor or services without proper value application; destroying or withholding government identification or immigration documents; causing or threatening financial harm; enticing or luring persons through fraud or deceit; or providing controlled substances for exploitation purposes. The affidavit must be notarized and executed before a notary public, with the notary required to verify the identity of the signatory through personal knowledge or identification documents.
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Text version
DIRECTIONS: All nongovernmental entities that are or potentially will be contracting, renewing or extending contracts with
Okaloosa County, must have an officer or representative fully execute this affidavit. Note, this is a mandatory requirement of s
787.06(13), Florida Statutes effective July 1, 2024.
I ____________________________ (insert name) as __________________________ (insert title) on behalf of
_________________________________ (insert entity name) under penalty of perjury hereby attest as follows:
1. I am over 21 years of age and have personal knowledge of the matters set forth in this affidavit.
2. ____________________________________ (insert entity name) does not use coercion for labor or services as defined in s. 787.06(2)(a), Florida Statutes.
3. More particularly, __________________________________ (insert entity name) does not participate in any of the following actions:
a. Using or threatening to use physical force against any person;
b. Restraining, isolating or confining or threatening to restrain, isolate or confine any person without lawful authority and against her or his will;
c. Using lending or other credit methods to establish a debt by any person when labor or services are pledged as a security for the debt, if the value of the labor or services as reasonably assessed is not applied toward the liquidation of the debt or the length and nature of the labor or services are not respectively limited and defined;
d. Destroying, concealing, removing, confiscating, withholding, or possessing any actual or purported passport, visa, or other immigration document, or any other actual or purported government identification document, of any person;
e. Causing or threatening to cause financial harm to any person;
f. Enticing or luring any person by fraud or deceit; or
g. Providing a controlled substance as outlined in Schedule I or Schedule II of s. 893.03, Florida Statutes to any person for the purpose of exploitation of that person.
FURTHER AFFIANT SAYETH NAUGHT.
Signature:
Printed Name:
Title:
Nongovernmental entity:
Date:
STATE OF
COUNTY OF
SWORN TO AND SUBSCRIBED before me in person or remote notarization by as on behalf of , who is personally known to me or who produced as identification this day of , 20 .
Notary Public (Notary Seal)
DOCUMENT 00410-ANTI-HUMAN TRAFFICKING AFFIDAVIT
File details come from the government source that posted it. Updated .