Human_Trafficking_Affidavit_02.05.2025_(3).pdf

This is a Human Trafficking Affidavit form required by Pinellas County, Florida, for contractors bidding on the South Cross Bayou Electrical Switchgear Replacement project (PID 004906A). The affidavit requires an authorized contractor representative to attest under penalties of perjury that the contractor does not use coercion for labor or services as defined in Section 787.06 of the Florida Statutes. The form must be notarized and includes fields for the contractor's name, the authorized representative's signature, printed name, date, Federal Work Authorization User Identification Number, and the specific Pinellas County contract name and number. The notary section requires verification of the signatory's identity through physical presence or online notarization, with the notary's seal, name, and commission expiration date required.

This affidavit is a mandatory compliance document for the electrical switchgear replacement project at the South Cross Bayou Advanced Wastewater Reclamation Facility, with bids due August 25, 2026. The project includes removal and replacement of six circuit breakers and associated switchgear and control components, with work to be performed at the Pinellas County facility. A Small Business Enterprise (SBE) set-aside applies to this solicitation, requiring compliance documentation. Performance and payment bonds are required from awarded contractors. The submission of this notarized human trafficking affidavit is a prerequisite for bid consideration and contract award under Florida statutory requirements.