Human_Trafficking_Affidavit_11.20.25.pdf
PDF 115 KB Posted
- Attached to
- Microsoft Entra Identity Services – Advisory, Design, and Implementation Support State and local contract opportunity
- Solicitation number
- 26-0259-RFI
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
This is a Human Trafficking Affidavit form required by Pinellas County, Florida, in accordance with Section 787.06(14) of the Florida Statutes. The affidavit is a mandatory compliance document that contractors must execute to certify that they do not engage in coercion for labor or services as defined under Florida law. The form requires an authorized representative of the contractor to sign under penalties of perjury, affirming their compliance with anti-human trafficking statutes. The affidavit must be notarized before a Florida notary public, with the notary required to verify the signatory's identity through either physical presence or online notarization. Required fields include the contractor's name, the Pinellas County contract name and number, Federal Work Authorization User Identification Number, the notary's information, commission expiration date, and the date of execution.
This affidavit serves as a contractual prerequisite and does not involve pricing terms, set-asides, or funding considerations. Rather, it functions as a compliance and eligibility requirement that all contractors bidding on Pinellas County contracts—including the Microsoft Entra Identity Services advisory and implementation support opportunity—must complete and submit. The form establishes the contractor's legal attestation regarding labor practices and is essential documentation in the contractor qualification process. No renewal options or contract terms are specified within the affidavit itself, as it operates independently as a compliance certification that must be maintained throughout any resulting contract relationship.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| Microsoft_Entra_Identity_Services_–_Advisory,_Design,_and_Implementation_Support.pdf | ||
| Foreign_Countries_of_Concern_Affidavit_12.11.2025.pdf | ||
| RE__RFI_-_Microsoft_Entra_Identity_Services.pdf | ||
| Non-Competitive_Oversight_Committee_Justification_Form.docx | DOCX document | |
| Common_Carrier_Attestation_02.05.2025.pdf | ||
| Identity_Services_RFI_Entra.docx | DOCX document | |
| Notice_of_Intent_to_Sole_Source_07-25-2023.pdf |
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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 .