Human_Trafficking_Affidavit_02.05.2025.pdf

This is a Human Trafficking Affidavit form required by Pinellas County, Florida for contractors bidding on the Health Program Evaluation Services contract. The affidavit requires an authorized representative of the contracting firm to attest under penalties of perjury that the contractor does not use coercion for labor or services as defined in Section 787.06 of the Florida Statutes. The form must be notarized and includes fields for the contractor's name, the authorized representative's signature and printed name, the date of execution, Federal Work Authorization User Identification Number, the name and number of the Pinellas County contract, and notary public information including commission expiration date. The notarization can be completed either through physical presence or online notarization.

This affidavit is one of several mandatory compliance documents that prospective vendors must submit as part of their proposal response for the Health Program Evaluation Services RFP. Additional required documentation includes a HIPAA Business Associate Agreement, Common Carrier Attestation, and a Foreign Countries of Concern Affidavit. The Human Trafficking Affidavit must be completed and submitted to demonstrate the contractor's commitment to ethical labor practices and compliance with Florida law regarding human trafficking prevention. This documentation requirement applies to all contractors regardless of contract value and is a prerequisite for proposal acceptance and contract award consideration.