Human_Trafficking_Affidavit_11.20.25.pdf

This is a Human Trafficking Affidavit form required by Pinellas County, Florida, in accordance with Section 787.06(14) of the Florida Statutes for the Rapid Rehousing Fiscal Administration & Service Provider Collaborative Program (26-0449-RFP). The affidavit serves as a certification document that must be completed and notarized by an authorized representative of any contractor bidding on or awarded a contract with Pinellas County Human Services. The form requires the contractor to attest under penalties of perjury that the organization does not use coercion for labor or services as defined in Florida Statutes Section 787.06. The document must include the signatory's name, date, Federal Work Authorization User Identification Number, and the specific Pinellas County contract name and number, and must be notarized with the notary's seal, commission expiration date, and identification confirmation.

This affidavit is a mandatory compliance document that demonstrates the contractor's commitment to ethical labor practices and human trafficking prevention. All contractors responding to or working under Pinellas County contracts are required to complete this form as part of the procurement process. The affidavit must be executed by an individual with authority to bind the contractor and properly notarized before a Florida notary public. Failure to provide this certification may result in bid rejection or contract termination. The form establishes a binding legal attestation regarding the contractor's labor practices and serves as documentation of the county's efforts to ensure compliance with Florida state law regarding human trafficking prevention.