Attachment_D_-_Volusia_Human_Trafficking_Affidavit.pdf
PDF 116 KB Posted
- Attached to
- Automotive Glass Replacement and Repair
- Solicitation number
- 26-B-10LS
- Issued by
- Volusia County, Florida
About this file
This is a Human Trafficking Attestation form required by the County of Volusia, Florida for contractors bidding on Invitation for Bid #26-B-10LS for automotive glass replacement and repair services. The attestation must be completed and signed by a duly authorized officer or representative of any nongovernmental entity executing, renewing, or extending a contract with Volusia County in compliance with Section 787.06 of the Florida Statutes (2025). The contractor must attest under penalty of perjury that the entity does not use coercion for labor or services, where "labor" means work of economic or financial value and "services" encompasses any acts committed at the behest of, under the supervision of, or for the benefit of another, including forced marriage, servitude, or organ removal. The form requires the contractor to acknowledge the statutory requirement and sign the attestation confirming compliance.
The affidavit defines coercion to include physical force or threats thereof; unlawful restraint, isolation, or confinement; debt bondage through improper credit methods; destruction or confiscation of identification documents; threats of financial harm; fraud or deceit; and provision of controlled substances for exploitation purposes. Contractors must provide their printed name, title, signature, and date on the form. Any contractor that violates this attestation by subsequently using coercion for labor or services must immediately notify Volusia County, and no further contracts may be executed, renewed, or extended between the parties. The attestation is made under penalty of perjury and is required for benefit of and reliance by the County of Volusia as the governmental entity.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Automotive_Glass_and_Repair.pdf | ||
| Attachment_D_-_Volusia_Human_Trafficking_Affidavit.pdf | ||
| Attachment_C_-_FTA_Third_Party_Clauses_Small_Purchases.pdf | ||
| Attachment_A_-_Price_Sheet.xlsx | XLSX spreadsheet | |
| Required_Types_and_Limits_of_Insurance.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Attachment D – Human Trafficking Affidavit 26-B-10LS Contractor Name:
Vendor (VSS) ID:
Contract Number:
HUMAN TRAFFICKING ATTESTATION
PURSUANT TO SECTION 787.06, FLORIDA STATUTES
Name of Entity/Contractor: ("Nongovernmental Entity")
This form has been completed by a duly authorized officer or representative of the Nongovernmental Entity in conjunction with the execution, renewal, or extension of a contract with County of Volusia, a governmental entity and political subdivision of the State of Florida, ("Governmental Entity") in compliance with Section 787.06(14), Florida Statutes, (2025).
The Nongovernmental Entity acknowledges that Section 787.06(14), Florida Statutes, provides that when a contract is executed, renewed, or extended between a nongovernmental entity and a governmental entity, the nongovernmental entity must provide the governmental entity with an affidavit signed by an officer or a representative of the nongovernmental entity under penalty of perjury attesting that the nongovernmental entity does not use coercion for labor or services. For purposes of this requirement, “labor” means work of economic or financial value and “services” means any act committed at the behest of, under the supervision of, or for the benefit of another. The term, “services” includes, but is not limited to, forced marriage, servitude, or the removal of organs.
Pursuant to Section 787.06, Florida Statutes, when a contract is executed, renewed, or extended between you, a nongovernmental entity, and Volusia County, a governmental entity in the State of Florida, you are hereby providing this affidavit under penalties of perjury that you do not use coercion for labor or services. Coercion includes, without limitation, using or threatening to use physical force against any person; restraining, isolating, or confining or threatening to restrain, isolate, or confine any person without lawful authority and against her or his will; 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, the length and nature of the labor or services are not respectively limited and defined; 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; causing or threatening to cause financial harm to any person; enticing or luring any person by fraud or deceit; or providing a controlled substance as outlined in Schedule I or Schedule II of Section 893.03, Florida Statutes, to any person for the purpose of exploitation of that person.
This signed attestation is provided to the Governmental Entity to comply with the statutory requirement.
If, at any time in the future, the Nongovernmental Entity does use coercion for labor or services, the Nongovernmental Entity will immediately notify the Governmental Entity and no contracts may be executed, renewed, or extended between the parties.
This attestation is made for the benefit of, and reliance by, the Governmental Entity.
Under penalties of perjury, I declare that I have read the foregoing statement and that the facts stated in it are true.
Printed Name: Title:
Signature: Date:
File details come from the government source that posted it. Updated .