Certification_Regarding_Prohibition_Against_DEI_Affidavit.pdf

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Attached to
27-0092-RFP Deferred Compensation Plan Recordkeeping and Administration Services
Solicitation number
27-0092-RFP
Issued by
Pinellas County, Clewiston City, Florida

About this file

This is a Certification Regarding Prohibition Against Diversity, Equity and Inclusion Training affidavit form issued by Pinellas County, Florida, for use in contract awards. The form requires contractors to certify compliance with Florida Statute Section 287.139, which prohibits the use of County funds to require employees, contractors, volunteers, vendors, or agents to receive training or instruction related to diversity, equity, and inclusion as defined under Florida Statute Section 125.595(1). The certification must be completed and signed by an authorized representative of the contractor and serves as a material condition for payment of funds under any contract or grant awarded by Pinellas County.

Non-compliance with the certification requirements may result in contract termination, withdrawal of grant funds, cancellation of County employee membership in an organization, or other remedies available under law. The contractor must maintain compliance throughout the duration of the contract term. The affidavit requires the authorized signatory to declare under penalties of perjury that the stated facts are true and must include the contractor's name, the Pinellas County contract name and number, Federal Work Authorization User Identification Number, and signature with date. This form is designated as Form PUR020.1 with a revision date of October 2026.

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Pinellas County Purchasing Page 1 of 1

Certification Regarding Prohibition Against Diversity, Equity and Inclusion Training

In accordance with section 287.139, Florida Statutes, the undersigned, on behalf of ___________________________ (the “Contractor”), certifies that it does not and will not use County funds awarded under a contract or grant, or paid in the form of membership dues for County employees, to require its employees, contractors, volunteers, vendors, or agents to ascribe to, study, or be instructed using materials relating to diversity, equity, and inclusion as defined in § 125.595(1), Florida Statutes.

The Contractor understands and agrees with the following:

• This certification is a material condition of the payment of funds to Contractor.

• The Contractor will maintain compliance with § 287.139, Florida Statutes, for the duration of the Contract.

• Failure to comply with this certification may result in termination of any contract, withdrawal of grant funds or other funding, or cancellation of County employee membership in the organization, and any other remedies available under law.

The undersigned must be an authorized representative of the Contractor who can execute this Attestation on the Contractor’s behalf. Under penalties of perjury, I _________________, declare that I have read the foregoing Certification and that the facts stated in it are true.

Signature:______________________________ Print Name:______________________________

Date:______________________________ Federal Work Authorization User Identification No.: ______________________________

Name of Pinellas County Contract and Contract No.: ______________________________

Form PUR020.1 Revision Date 10/2026

Print Name:
Date:
Federal Work Authorization User Identification No:
Contractor name:
Certification:
Name of Pinellas County Contract and Contract No:

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