Human_Trafficking_Affidavit_02.05.2025.pdf

PDF 89 KB Posted

Attached to
Vesta Maintenance State and local contract opportunity
Solicitation number
25-0581-RFP
Issued by
Pinellas County, Florida

About this file

This document is a Human Trafficking Affidavit for a Pinellas County contract related to the Vesta 9-1-1 Public Safety Call Handling Solution maintenance and support services. The affidavit requires an authorized representative of the contractor to attest that they do not use coercion for labor or services, as defined under Section 787.06 of Florida Statutes. The form is designed to be executed and notarized, with spaces for the contractor's signature, federal work authorization identification number, and specific contract details.

The affidavit is specifically tied to a procurement opportunity for maintenance and support services for Motorola Solutions' Vesta 9-1-1 Public Safety Call Handling Solution in Pinellas County, Florida. The county is seeking proposals from established companies capable of providing comprehensive, high-quality maintenance and support services. The solicitation allows for proposals from individual vendors or collaborative teams, though the county ultimately desires a complete solution from a single contracted vendor. The document serves as a critical compliance component ensuring contractors affirm their commitment to ethical labor practices as a prerequisite for participating in the county's procurement process.

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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 .