Human_Trafficking_Affidavit_11.20.25.pdf

This is a Human Trafficking Affidavit required by Pinellas County, Florida for contractors bidding on RFP 26-0408 for Pharmacy Benefit Manager Services. The affidavit, executed in accordance with Florida Statute Section 787.06(14), requires the contractor's authorized representative to attest under penalties of perjury that the contractor does not use coercion for labor or services. The document must be notarized and submitted as part of the proposal response for pharmacy benefit management services covering approximately 3,200 eligible county employees. The contract will commence on January 1, 2027, with a five-year initial term and two optional one-year renewal periods. Proposal submissions are due electronically through the OpenGov platform by March 31, 2026 at 3:00 p.m., with a questions submission deadline of March 19, 2026 at 10:00 a.m.

The affidavit is a mandatory compliance document requiring completion by an authorized corporate representative, notarization, and submission alongside other required documents including foreign country of concern ownership attestations and common carrier declarations regarding unauthorized alien transportation. All proposing firms must complete and submit the notarized affidavit as part of their proposal package. The form includes fields for the contractor name, authorized representative signature, Federal Work Authorization User Identification Number, the Pinellas County contract name and number, notary information, and the date of notarization. This requirement applies to all vendors regardless of size, location, or disadvantaged enterprise status, with no set-aside designations limiting responses.