Contractor_Affidavit_Regarding_the_Use_of_Coercion_for_Labor_and_Services_FILLABLE.pdf
PDF 102 KB Posted
- Attached to
- CONSTRUCTION MANAGEMENT AT RISK TILLMAN ELEMENTARY CAMPUS WIDE RENOVATION, SDMC No. 2025-12
- Solicitation number
- 2025-12
- Issued by
- Manatee County, Florida
About this file
This is a Contractor Affidavit form regarding the use of coercion for labor and services, required by the School Board of Manatee County, Florida, for the Construction Management at Risk Tillman Elementary Campus Wide Renovation project (SDMC No. 2025-12). The affidavit must be completed and signed by an authorized representative of any nongovernmental entity executing, renewing, or extending a contract with the school board. The document requires the contractor to certify compliance with Florida Statutes Section 787.06(13) and to provide information including the contractor's name, address, phone number, authorized representative's name and title, and email address. The form serves as a sworn statement under penalty of perjury confirming that the contractor does not engage in prohibited labor practices.
The affidavit requires contractors to certify that they do not use or threaten physical force against persons; restrain, isolate, or confine individuals without lawful authority; establish exploitative debt arrangements; destroy or withhold government identification documents; cause financial harm; use fraud or deceit to lure persons; or provide controlled substances for exploitation purposes. This certification is mandatory for all vendors doing business with the School Board of Manatee County and must be signed by an authorized official of the contracting entity. The affidavit is a compliance document with no pricing, set-asides, or financial terms associated with it, serving solely as a prerequisite verification of the contractor's lawful labor practices prior to contract award.
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Text version
Contractor Affidavit Regarding the Use of Coercion for Labor and Services
Contractor Name: _____________________________________________________________________
Address: _________________________________________________________________________
Phone Number: ____________________________________________________________________
Authorized Representative’s Name: ____________________________________________________
Authorized Representative’s Title: _____________________________________________________
Email Address: _____________________________________________________________________
Section 787.06(13), Florida Statutes requires all nongovernmental entities (such as Vendor) executing, renewing, or extending a contract with a governmental entity (such as the School Board of Manatee County, Florida) to provide an affidavit signed by an officer or representative of Vendor under penalty of perjury that Vendor does not use coercion for labor or services as defined in that statute.
As the person authorized to sign on behalf of Vendor, I certify that the company identified above 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.
Signature of Contractor’s Authorized Official
| Contractor Name: |
| Address: |
| Phone Number: |
| Authorized Representatives Name: |
| Authorized Representatives Title: |
| Email Address: |
File details come from the government source that posted it. Updated .