Human_Trafficking_Affidavit_02.05.2025.pdf
PDF 89 KB Posted
- Attached to
- Parking Management System State and local contract opportunity
- Solicitation number
- 25-0657-RFP
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
This Human Trafficking Affidavit is a compliance document required by Pinellas County, Florida for the Parking Management System Request for Proposal. The affidavit requires contractors to attest under penalty of perjury that they do not use coercion for labor or services as defined in Florida Statutes Section 787.06(13). The document must be executed by an authorized representative of the contractor and notarized before a notary public. The form includes fields for the contractor's name, the authorized representative's signature and printed name, Federal Work Authorization User Identification Number, the specific Pinellas County contract name and number, the execution date, and notarization details including the notary's seal, commission expiration date, and method of acknowledgment (physical presence or online notarization). This affidavit is a mandatory compliance requirement for all bidders submitting proposals for the parking management system contract with a July 1, 2025 submission deadline.
The Human Trafficking Affidavit serves as a prerequisite certification document that all contractors must complete and submit as part of their proposal package for the Pinellas County Parking Management System contract. The affidavit requirement, combined with the Foreign Country of Concern Affidavit also mandated by the RFP, establishes baseline compliance standards that restrict participation from vendors associated with designated countries including China, Russia, Iran, North Korea, Cuba, Venezuela, and Syria. Contractors failing to complete and properly notarize this affidavit or those unable to certify their compliance will be deemed non-responsive and ineligible for contract award.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| Parking_Management_System_(Addendum_#1_Revision).pdf | ||
| Parking_Management_System_(Addendum_#1_Revision).pdf | ||
| Foreign_Countries_of_Concern_Affidavit_02.05.2025.pdf | ||
| Foreign_Countries_of_Concern_Affidavit_02.05.2025.pdf | ||
| Human_Trafficking_Affidavit_02.05.2025.pdf | ||
| Non-Competitive_Oversight_Committee_Justification_Form.docx | DOCX document | |
| Project_Goals_History_v1.0_(2).docx | DOCX document | |
| Non-Competitive_Oversight_Committee_Justification_Form.docx | DOCX document | |
| Project_Goals_History_v1.0_(2).docx | DOCX document | |
| RFP_2026_draft_v1.0.docx | DOCX document | |
| RFP_2026_draft_v1.0.docx | DOCX document | |
| RFP_Cost_estimate.xlsx | XLSX spreadsheet | |
| RFP_Cost_estimate.xlsx | XLSX spreadsheet |
Show all 13
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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 .