Human_Trafficking_Affidavit_02.05.2025.pdf
PDF 89 KB Posted
- Attached to
- Post-Hurricane Damage Assessment Using Drone Technology & Aerial Data Analytics Request for Information
- Solicitation number
- 25-0798-RFI
- Issued by
- Pinellas County, Florida
About this file
This document is a Human Trafficking Affidavit form for Pinellas County, Florida, designed to comply with section 787.06(13) of the Florida Statutes. The form requires an authorized representative of a contractor to attest that the contractor does not use coercion for labor or services as defined in the referenced statute. The affidavit must be completed and notarized, with spaces provided for the contractor's details, signature, Federal Work Authorization User Identification Number, and the specific Pinellas County contract information.
The form is part of the broader procurement process for the Post-Hurricane Damage Assessment Using Drone Technology & Aerial Data Analytics Request for Information (RFI), which seeks to gather information from vendors capable of providing advanced aerial surveillance and damage assessment technologies. While this RFI does not constitute a direct solicitation for bids or proposals, it is intended to explore potential technologies and methodologies for supporting Pinellas County's emergency management, building inspections, and property assessment functions in the aftermath of natural disasters. The document underscores the county's commitment to ethical contracting practices by requiring contractors to affirm their compliance with human trafficking prevention statutes.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .