Attachment_B_-_Human_Trafficking_Affidavit.pdf
PDF 209 KB Posted
- Attached to
- Tree Trimming and Removal Services (Co-op)
- Solicitation number
- B-4-25-04
- Issued by
- Florida
About this file
The document is a Human Trafficking Affidavit related to the Brevard County Public Entity Purchasing Cooperative's Tree Trimming and Removal Services solicitation. The affidavit is a mandatory compliance document dated 07/01/2024, requiring businesses participating in the contract to affirm they do not engage in coercive labor practices as defined under Florida Statute 787.06.
The affidavit requires a company representative over 18 years old to declare under penalties of perjury that their organization does not use coercion for labor or services. By signing, the representative acknowledges that making a false statement could result in criminal penalties, and they are attesting to the truthfulness of their declaration pursuant to Florida Statute 92.525. The document provides blank spaces for the company name, signatory's role, name, title, and signature, serving as a standard compliance certification for the tree trimming and removal services cooperative contract.
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Text version
Human Trafficking Affidavit 07/01/2024
3. _____________________________________________ (Company) does not use coercion for labor or services, as those terms are defined in Florida Statute 787.06.
4. This declaration is made pursuant to Florida Statute 92.525. I understand that making a false statement in this declaration may subject me to criminal penalties.
Under penalties of perjury, I ____________________________________________________(Signatory Name and Title), declare that I have read the foregoing Human Trafficking Affidavit and that the facts stated in it are true.
Further Affiant sayeth naught.
COMPANY
NAME OF BUSINESS ENTITY
SIGNATURE
TYPE NAME AND TITLE
H U M A N T R A F F I C K I N G A F F I D A V I T
1. I am over the age of 18 and I have personal knowledge of the matters set forth except as otherwise set forth herein.
2. I currently serve as ______________________________ (Role) of ____________________________ (Company).
| I currently serve as (Role): |
| Company Name: |
| Signatory Name and Title: |
File details come from the government source that posted it. Updated .