Human_Trafficking_Affidavit_02.05.2025.pdf
PDF 89 KB Posted
- Attached to
- Marketing Representation-Mid Atlantic Region
- Solicitation number
- 25-0754-RFQ
- Issued by
- Pinellas County, Florida
About this file
The document is a Human Trafficking Affidavit for a Pinellas County contract, specifically related to a Request for Qualifications for marketing representation in the Mid-Atlantic Region. The affidavit is designed to ensure that the contractor does not use coercion for labor or services, in compliance with Section 787.06(13) of Florida Statutes. The document requires an authorized representative of the contractor to sign and attest to their understanding and compliance with anti-human trafficking regulations.
The affidavit is part of a procurement process for professional in-market marketing representation for the Pinellas County Convention and Visitors Bureau (Visit St. Pete-Clearwater). The geographic scope covers the Greater Washington D.C. area, Virginia, Maryland, West Virginia, and North Carolina, with the primary objective of increasing meetings and conference tourism in Pinellas County. The form includes spaces for the contractor's signature, federal work authorization identification, contract details, and requires notarization to validate the contractor's commitment to avoiding human trafficking in their labor practices.
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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 .