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 for contractors bidding on Unmanned Aerial Services and Professional Engineering Services under Request for Qualification #26-0370-CCNAC. The affidavit certifies that the contractor does not use coercion for labor or services as defined in Section 787.06 of the Florida Statutes. The document requires execution by an authorized representative of the contractor and must be notarized. Written questions regarding the procurement are due by March 27, 2026, at 3:00 PM Eastern Time, with all submittals required by April 7, 2026, at 3:00 PM Eastern Time via the OpenGov Procurement platform. The contract will be awarded on a continuing as-needed basis for services including topographic surveys, ecological assessments and mapping, infrastructure and asset inspections, construction inspection services, shoreline and marine structure inspections, and emergency damage assessments. Work assignments will consist of both on-demand services requiring deployment within 12-24 hours for urgent needs and planned projects, with eligible projects limited to those with construction costs not exceeding $2 million and professional service fees not exceeding $200,000 per project. The initial contract term is five years from the award date with two optional 12-month extensions subject to performance evaluation and rate renegotiation.
Proposers must provide this executed and notarized affidavit along with other mandatory affidavits including a Foreign Countries of Concern Affidavit certifying that the firm and its controlling interests are not owned or controlled by specified foreign governments. Compensation will be negotiated on a per-work-assignment basis using an agreed-upon fee schedule, with all compensation fully loaded to include profit, markup, and local travel expenses within the Tampa Bay metropolitan statistical area, while out-of-area travel is reimbursed per Florida Statute 112.061. Work assignments valued at $50,000 or greater require a minimum 10 percent financial commitment to a certified Pinellas County Small Business Enterprise subconsultant, unless the prime firm itself qualifies as an SBE. The evaluation committee will review proposals in April 2026, with a contract award recommendation to the Board of County Commissioners anticipated in July 2026.
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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 |
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