Attachment_E.__Use_of_Coercion_for_Labor_and_Services_Affidavit_for_Nongovernmental_Entities.pdf
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- Solicitation number
- 26-0119
- Issued by
- Sarasota County, Florida
About this file
This is an affidavit form required by the School Board of Sarasota County, Florida for Bid #26-0119 (Tank Pumping and Hydro-Jetting Service). Pursuant to Section 787.06(13) of Florida Statutes, all nongovernmental entities executing, renewing, or extending a contract with a governmental entity must provide a signed affidavit certifying compliance with labor and services coercion prohibitions. The affidavit applies to the tank pumping and hydro-jetting service contract, under which the selected contractor will supply all labor, supervision, equipment, materials, fuel, transportation, and disposal fees necessary to pump grease traps, septic tanks, and transfer stations at School Board facilities. Services include hydro-jetting of grease trap inlet and outlet lines and other feed lines as directed. Regular grease trap maintenance will occur two times per year on a predetermined schedule agreed upon between the School Board representative and the contractor.
The affidavit form requires the vendor's authorized representative to certify under penalty of perjury that the company does not engage in labor coercion practices, including use or threat of physical force, unlawful restraint or confinement, exploitative debt practices, confiscation of identification documents, threats of financial harm, fraud or deceit, or provision of controlled substances for exploitation. The form must be signed by an authorized company officer or representative and notarized before a notary public. The affidavit includes fields for vendor name, FEIN, authorized representative information, address, contact details, and notary acknowledgment. General Counsel approval was obtained on April 24, 2024.
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Text version
Respondent Vendor Name: ____________________________________________________
Vendor FEIN: __________________________________
Vendor's Authorized Representative Name and Title: __________________________________
Address: ______________________________________________________________________
City: ____________________________ State: _____________ ZIP: _____________________
Phone Number: _____________________________________________
Email Address: ______________________________________________
Section 787.06(13), Florida Statutes requires all nongovernmental entities executing, renewing, or extending a contract with a governmental entity to provide an affidavit signed by an officer or representative of the nongovernmental entity under penalty of perjury that the nongovernmental entity does not use coercion for labor or services as defined in that statute. The Sarasota County School Board is a governmental entity for purposes of this statute.
As the person authorized to sign on behalf of Respondent, I certify that the company identified does not:
• Use or threaten to use physical force against any person;
• Restrain, isolate, or confine or threaten to restrain, isolate, or confine any person without lawful authority and against her or his will;
• Use 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;
• Destroy, conceal, remove, confiscate, withhold, or possess any actual or purported passport, visa, or other immigration document, or any other actual or purported government identification document, of any person;
• Cause or threaten to cause financial harm to any person;
• Entice or lure any person by fraud or deceit; or
• Provide a controlled substance as outlined in Schedule I or Schedule II of s. 893.03 to any person for the purpose of exploitation of that person.
Under penalties of perjury, I declare that I have read the foregoing document and that the facts stated in it are true.
By: __________________________________________________________________________
AUTHORIZED SIGNATURE
Print Name and Title: ________________________________________ Date: ___________________
STATE OF ________________
COUNTY OF ______________
The foregoing instrument was acknowledged before me by means of ☐ physical presence or ☐ online notarization this ______ day of ______________, 202_, by ____________________________________, who is personally known ___ or produced ___________________________ as Identification.
Notary Public Print Name:
My Commission Expires:
General Counsel Approved 04 24 24
THE SCHOOL BOARD OF SARASOTA COUNTY, FLORIDA
TANK PUMPING & HYDRO-JETTING SERVICE - BID #26-0119
ATTACHMENT E
State of Florida
Affidavit Regarding the Use of Coercion for Labor and Services
File details come from the government source that posted it. Updated .