Human_Trafficking_Affidavit_11.20.25.pdf
PDF 115 KB Posted
- Attached to
- Groundskeeping - Mowing, Landscape & Irrigation Services State and local contract opportunity
- Solicitation number
- 26-0255-RFP
- Issued by
- Pinellas County, Florida
About this file
This is a Human Trafficking Affidavit document required by Pinellas County, Florida for the Groundskeeping - Mowing, Landscape & Irrigation Services contract opportunity. The affidavit requires contractors to attest under penalties of perjury that they do not use coercion for labor or services as defined in Section 787.06, Florida Statutes. The document must be executed by an authorized representative of the contractor and notarized before a notary public. The form requires completion of contractor identification information, Federal Work Authorization User Identification Number, the name and number of the Pinellas County contract, and notarization details including the notary's commission expiration date. This affidavit is one of multiple compliance certifications required for bid submission on the countywide groundskeeping services solicitation, which encompasses mowing, landscape maintenance, and irrigation services across 37 county-owned facilities organized in five geographic zones and three maintenance classes, with proposals due electronically by March 24, 2026 at 3:00 p.m. and a contract term of 36 months with two optional 12-month extension periods.
Contractors must also submit Common Carrier Attestations and Foreign Country of Concern Affidavits certifying non-involvement with specified foreign nations including China, Russia, Iran, North Korea, Cuba, Venezuela, and Syria. The total contract value is estimated at $1,235,953.80 for the three-year initial term with annualized costs of $411,984.60, with pricing submitted on a per-cycle basis for routine maintenance plus additional line items for miscellaneous labor and event services, subject to annual price adjustments not exceeding the lesser of the Consumer Price Index or 5 percent. Yellowstone Landscape Southeast LLC DBA Yellowstone Landscape appears to be the current incumbent contractor. Required qualifications include at least three references for similar commercial or governmental groundskeeping projects, a permanent business office within or near Pinellas County, and certifications in Best Management Practices training, Pest Control Operator certification, and Certified Arborist credentials. Evaluation criteria are weighted as follows: Approach (10%), Statement of Work (20%), Compensation/Pricing (30%), Qualifications (20%), and Firm Experience with Similar Projects (20%).
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Text version
HUMAN TRAFFICKING AFFIDAVIT
In accordance with section 787.06 (14), 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 .