Human_Trafficking_Affidavit_02.05.2025_(3).pdf
PDF 89 KB Posted
- Solicitation number
- 26-0370-RFQ-CCNAC
- Issued by
- Pinellas County, Florida
About this file
This is a Human Trafficking Affidavit required by Pinellas County, Florida, in accordance with Section 787.06 of the Florida Statutes, related to the procurement of Unmanned Aerial Services and Professional Engineering Services. The affidavit serves as a mandatory attestation that the contractor does not use coercion for labor or services as defined under Florida law. The document requires an authorized representative of the contractor to execute the affidavit under penalties of perjury, certifying compliance with anti-human trafficking provisions. The affidavit must be notarized before a notary public and includes acknowledgment by either physical presence or online notarization. Required information includes the contractor's name, Federal Work Authorization User Identification Number, the specific Pinellas County contract name and contract number, and the notary's commission expiration date.
This affidavit is a compliance and certification document rather than a statement of work or pricing terms. It functions as a prerequisite requirement for bidding on state and local contracts in Florida, designed to ensure contractors meet statutory obligations regarding labor practices and human trafficking prevention. No pricing, award dates, contract terms, or renewal options are contained within this document, as its sole purpose is to establish the contractor's legal attestation of compliance with Florida's human trafficking statutes prior to contract execution.
View the file
Other files
Show all 48
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
HUMAN TRAFFICKING AFFIDAVIT
In accordance with section 787.06 (13), Florida Statutes, the undersigned, on behalf of ____________________________ (the “Contractor”), hereby attests that the Contractor does not use coercion for labor or services as defined in Section 787.06, Florida Statutes.
The undersigned must be an authorized representative of the Contractor who can execute this affidavit on the Contractor’s behalf.
Under penalties of perjury, I______________________, declare that I have read the foregoing affidavit 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.: ____________________________
STATE OF FLORIDA COUNTY OF ________________
The foregoing instrument was acknowledged before me by means of 1) physical presence __ or
2) online notarization___, this __________________________ (date) by ____________________________ of _____________________________________, a __________________________________ corporation, on behalf of the corporation.
He/she is personally known to me or has produced __________________________________ as identification.
[Notary Seal]
Notary Public: _________________________________________ Name typed, printed, or stamped: _________________________________________
My Commission Expires: _________________________________________
| Print Name: |
| Federal Work Authorization User Identification No: |
| Name of Pinellas County Contract and Contract No: |
| Notary Public: |
| Name typed printed or stamped: |
| My Commission Expires: |
| Contractor Name: |
| Contractor Name 1: |
| Pinellas County: |
| Date: |
| Check Box1: Yes |
| Notary Name: |
| 1: |
| 2: |
| Type of Identification: |
| Check Box2: Off |
File details come from the government source that posted it. Updated .