Human_Trafficking_Affidavit_02.05.2025.pdf
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- Solicitation number
- 25-0779-ITB
- Issued by
- Pinellas County, Florida
About this file
This is a Human Trafficking Affidavit document required by Pinellas County, Florida for Invitation to Bid #25-0779-ITB regarding Overhead/Security Doors Maintenance, Repair and Replacement Services. The affidavit serves as a mandatory compliance certification in which the contractor's authorized representative attests under penalty of perjury that the company does not use coercion for labor or services as defined in Section 787.06 of the Florida Statutes. The document must be executed by an authorized representative of the contractor and notarized before a Florida notary public. The affidavit requires the contractor to provide their Federal Work Authorization User Identification Number, the Pinellas County contract name and number, and identification of the notary public administering the oath. The contract opportunity itself involves providing comprehensive overhead and security door services across 42 county locations and facilities, with an estimated contract value of $300,000 over a 60-month term, encompassing routine maintenance, emergency repairs, and equipment replacements for approximately 297 doors.
The pricing structure is based on submitted unit prices for labor and parts, with no guaranteed minimum service quantities during the contract period. The contract includes an estimated $180,000 allocation for repair parts and $120,000 for replacement doors, with anticipated normal work of 2,200 hours and emergency/overtime services of 600 hours. Successful contractors must demonstrate capability to service facilities across multiple municipalities including Clearwater, Largo, Palm Harbor, St. Petersburg, Tarpon Springs, and Oldsmar, with annual pricing subject to adjustment not exceeding the average Consumer Price Index or 5%, whichever is less. The solicitation requires contractors to provide a minimum one-year warranty on all equipment and work, maintain properly stocked service vehicles, respond to emergency calls within two hours, and complete routine requests within 24 hours. No specific set-asides for disadvantaged enterprises are outlined in the procurement documents.
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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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