Human_Trafficking_Affidavit_02.05.2025_(3).pdf
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- 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 the Unmanned Aerial Services and Professional Engineering Services procurement (RFQ #26-0370-CCNAC). The affidavit serves as a mandatory compliance document in which the Contractor's authorized representative attests under penalties of perjury that the firm does not use coercion for labor or services as defined in Section 787.06 of Florida Statutes. The affidavit requires the signatory to provide their name, signature, date, and Federal Work Authorization User Identification Number, along with the Pinellas County contract name and number. The document must be notarized, with the notary public providing their commission expiration date and identifying the type of identification presented by the authorized representative executing the affidavit on behalf of the contracting firm.
This affidavit is one of multiple mandatory compliance documents required from all proposers responding to Pinellas County's RFQ for unmanned aerial vehicle services. All submittals are due by April 7, 2026, at 3:00 PM Eastern Time via the OpenGov Procurement platform. The affidavit represents part of the county's commitment to preventing human trafficking and ensuring ethical labor practices among contractors awarded work under this five-year continuing services contract with two optional 12-month renewal extensions. Completion and proper notarization of this affidavit is a prerequisite for proposal acceptance and contract award consideration.
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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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