Attachment_E_Human_Trafficking_Affidavit.pdf

PDF 116 KB Posted

Attached to
Mowing and Landscape Services
Solicitation number
IFB2025-002
Issued by
Polk County, Lake Harbor CDP, Florida

About this file

The Human Trafficking Affidavit is a legal document issued by the City of Kissimmee, Florida, required for contractors participating in government contracts under Section 787.06 of Florida Statutes. The form must be completed by a contractor's authorized representative as part of executing, amending, or renewing a contract with the county or governmental entity, and the contract will not become effective until this document is submitted. The affidavit requires the contractor to attest that they do not use coercion for labor or services as defined in the specified Florida statute.

The document is designed to ensure compliance with human trafficking prevention regulations, requiring the contractor to declare under penalties of perjury that the statements made are true. The form includes spaces for the contractor's legal company name, the authorized representative's printed name and title, their signature, and the date of execution. This affidavit is specifically tied to the City of Kissimmee's Mowing and Landscape Services contract (IFB2025-002), serving as a mandatory compliance document to verify ethical labor practices for potential service providers.

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Text version

Est. 07.15.2024

HUMAN TRAFFICKING AFFIDAVIT

The Human Trafficking Affidavit is required by Section 787.06, Florida Statutes (“F.S.”), as amended by HB 7063, which is deemed as being expressly incorporated into this Form. The Form must be completed by a person authorized to make this attestation on behalf of the Contractor (Nongovernmental Entity) for the purpose of executing, amending, or renewing a Contract with the County (Governmental Entity). The associated Contract shall not become effective unless and until this completed and executed Form is submitted to the County (Governmental Entity). The term Governmental Entity has the same meaning as in Section 287.138(1), F.S.

______________________________ does not use coercion for labor or services as defined in Section 787.06, F.S.

Contractor’s Legal Company Name

Pursuant to Section 92.525, F.S., under the penalties of perjury, I declare that I have read the foregoing statement and that the facts stated in it are true.

Print Name of Contractor’s Authorized Representative:

Title of Contractor’s Authorized Representative:

Signature of Contractor’s Authorized Representative:

Date:

Contractors Legal Company Name:
Print Name:
Print Title:
Date:

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