Attachment_E_AntiHuman_Trafficking_Affidavit_Section_787.06_Florida_Statutes.pdf
PDF 133 KB Posted
- Attached to
- RFP 2026 PR 9409 Chiller Eddy Current Testing
- Solicitation number
- PR9409
- Issued by
- Florida
About this file
This is an Anti-Human Trafficking Affidavit required by Section 787.06 of the Florida Statutes for nongovernmental entities contracting with the state of Florida. The affidavit must be completed and notarized by an authorized officer or representative of the contracting entity. The affiant must affirm that they are over eighteen years of age, authorized to represent the nongovernmental entity, and that the entity does not use coercion for labor or services as defined under Florida law. The document serves as a compliance certification made under penalty of perjury, with false statements subject to criminal penalties.
The affidavit requires completion of standard notarization fields including the affiant's printed name, title, company name, date, state and county of notarization, notary public identification, commission expiration date, and the form of identification produced. This document is mandatory for the RFP 2026 PR 9409 Chiller Eddy Current Testing opportunity issued by OUC (Orange Utility Commission) in Florida, which seeks qualified suppliers to perform eddy current examinations of nonferrous tubing in Trane chillers at various chilled water plant locations on an as-needed basis.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment_D_Qualification_Form.xlsx | XLSX spreadsheet | |
| General_Conditions_and_Terms_for_Services.pdf | ||
| RFP_2026_PR_9409_Chiller_Eddy_Current_Testing.pdf | ||
| Attachment_B_Price_Schedule.xlsx | XLSX spreadsheet |
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Text version
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:
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