Human_Trafficking_Affidavit_02.05.2025.pdf
PDF 89 KB Posted
- Attached to
- VEHICLE BODY AND FRAME REPAIR
- Solicitation number
- 25-0522-ITB
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
The document is a Human Trafficking Affidavit for Pinellas County, Florida, related to a Vehicle Body and Frame Repair contract. This standard form requires a contractor to attest that they do not use coercion for labor or services as defined under Section 787.06 of Florida Statutes. The affidavit must be signed by an authorized representative of the contractor, with provisions for notarization that include options for physical presence or online notarization.
The affidavit is specifically linked to a county contract for comprehensive vehicle repair services, covering passenger sedans, SUVs, light trucks, vans, medium and heavy trucks. The contract requires the contractor to provide skilled labor, tools, equipment, and materials to repair and restore vehicle bodies and frames damaged by collisions or deterioration, with work meeting manufacturer specifications and adhering to local safety and quality standards. While specific pricing, contract duration, and award details are not included in this document, the affidavit serves as a mandatory compliance document ensuring ethical labor practices for potential contractors bidding on the vehicle repair services contract.
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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 |
File details come from the government source that posted it. Updated .