EXHIBIT_“H”_Affidavit_of_Compliance_with_Anti-Human_Trafficking_Laws.pdf
PDF 181 KB Posted
- Solicitation number
- 26-016
- Issued by
- Santa Rosa County, Florida
About this file
This file is an Affidavit of Compliance with Anti-Human Trafficking Laws required by the State of Florida for entities contracting with Santa Rosa County and the City of Dania Beach. The affidavit is a sworn statement in which the entity attests, under penalty of perjury, that it does not use coercion for labor or services as defined in Section 787.06 of the Florida Statutes. The document must be executed by an authorized representative of the entity and notarized before a Florida Notary Public. The affidavit requires completion of standard fields including the entity name, signatory title, date of execution, and notarization details, with the notary certifying whether the affiant was personally known or produced identification and whether an oath was administered.
This compliance affidavit is a mandatory exhibit (Exhibit H) in the procurement documents for both the Santa Rosa County Sale and Master Planning of County-Owned Property on Berryhill Road (RFP 26-016) and the City of Dania Beach Construction Engineering and Inspection Services for the NW 1st Street Complete Streets Improvement Project. All respondents and bidders are required to submit a completed and notarized affidavit demonstrating compliance with Florida's anti-human trafficking laws prior to contract award. This requirement applies uniformly to all potential vendors, with no exemptions or set-asides noted. The affidavit serves as a verification mechanism for the jurisdictions to ensure ethical labor practices throughout the contract performance period.
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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 .