EXHIBIT_“H”_Affidavit_of_Compliance_with_Anti-Human_Trafficking_Laws.pdf

PDF 181 KB Posted

Attached to
Resiliency Plan (Re-Issue)
Solicitation number
25-004
Issued by
Santa Rosa County, Florida

About this file

Exhibit "H" is an Affidavit of Compliance with Anti-Human Trafficking Laws, specifically aligned with Section 787.06(13) of Florida Statutes. The document is a standard legal form requiring an entity to attest under penalty of perjury that they do not use coercion for labor or services as defined under Florida's human trafficking statutes. The form includes spaces for the entity's name, the authorized signatory's details, and requires notarization to validate the affirmation.

While the affidavit is part of a document set related to a Road Striping contract opportunity with the City of Hayward in California, this specific exhibit is a compliance document focusing on preventing human trafficking. The form must be completed, signed, and notarized by an authorized representative of the contracting entity, serving as a legal declaration of the organization's commitment to ethical labor practices and opposition to human trafficking.

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Text version

EXHIBIT “H”

AFFIDAVIT OF COMPLIANCE WITH ANTI-HUMAN TRAFFICKING LAWS

In accordance with Section 787.06 (13), Florida Statutes, the undersigned, on behalf of the entity listed below (“Entity”), hereby attests under penalty of perjury that:

1. Entity does not use coercion for labor or services as defined in Section 787.06, Florida Statutes, entitled “Human Trafficking”.

The undersigned is authorized to execute this affidavit on behalf of Entity.

Date: ____________________, 20___ Signed:

Entity: Name:

Title:

STATE OF FLORIDA

COUNTY OF

The foregoing instrument was acknowledged before me by means of ☐ physical presence or by ☐ online notarization on __________________________________ 20____, by ________________________________ as ___________ of __________________________, on behalf of the company. He/she is personally known to me or produced __________________________________ as identification and did (did not) take an oath.

NOTARY PUBLIC

My Commission Expires: State of Florida

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