AntiHuman_Trafficking_Affidavit_4863312.1_FILLABLE_Effective_070124_3_002.pdf

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Attached to
Background Check Services
Solicitation number
PR9308
Issued by
Florida

About this file

This is an Anti-Human Trafficking Affidavit form required under Florida Statutes Section 787.06, applicable to nongovernmental entities contracting with the State of Florida. The affidavit is a fillable form that requires an authorized officer or representative of a contracting entity to swear under oath that the nongovernmental entity does not use coercion for labor or services as defined under Florida law. The declaration must be notarized and signed before a notary public, with the affiant confirming personal knowledge of the statement's accuracy and understanding that false statements may result in criminal penalties. The form is effective as of July 1, 2024, and requires completion of standard fields including the affiant's name, title, company name, date, and notary information.

In the context of the Orlando Utilities Commission's Background Check Services RFP 9308, this affidavit form represents a mandatory compliance document that interested vendors must submit as part of their proposal package. Bidders responding to this opportunity must complete and notarize the Anti-Human Trafficking Affidavit alongside other required compliance forms, including the Sworn Statement on Public Entity Crimes and the Dispute Disclosure form. This requirement ensures that all potential contractors certify their compliance with Florida's anti-trafficking statutes prior to contract award.

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ANTI-HUMAN TRAFFICKING AFFIDAVIT

(SECTION 787.06, FLORIDA STATUTES)

BEFORE ME, the undersigned authority, appeared ______________________________, who first being duly sworn hereby swears of affirms as follows:

1. I am over eighteen (18) years of age. The following information is based on my own personal knowledge.

2. I am an officer or representative of _______________________________ (the “Nongovernmental Entity”). I am authorized to provide this affidavit on behalf of the Nongovernmental Entity.

3. The Nongovernmental Entity does not use coercion for labor or services as defined in Section 787.06, Florida Statutes.

4. This declaration is made pursuant to Section 92.525(1)(c), Florida Statutes. I understand that making a false statement in this declaration may subject me to criminal penalties.

UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING ANTI-

HUMAN TRAFFICKING AFFIDAVIT AND THAT THE FACTS STATED IN IT ARE TRUE.

FURTHER AFFIANT SAYETH NOT.

Printed Name: ________________________ Title: _______________________________ Company Name: ______________________ Date: _______________________________

STATE OF _____________

COUNTY OF ___________

Sworn to (or affirmed) and subscribed before me by means of ☐ physical presence or ☐ online notarization, this _______day of __________, 20___, by ____________________, on behalf of ____________________________, who is personally known to me or who has produced _________________________ as identification.

Print Name: _______________________ Notary Public of the State of Florida

My Commission Expires:

Printed Name:
Title:
Print Name:
Company Name:
Date:
Month:
Year:
Form of ID:
State:
County:
Name of Affiant:
Notary Name:

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