Human_Trafficking_Affidavit_11.20.25.pdf
PDF 115 KB Posted
- Attached to
- Window Cleaning Services
- Solicitation number
- 26-0314-ITB
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
This is a Human Trafficking Affidavit document required by Pinellas County, Florida for the Window Cleaning Services contract opportunity. The affidavit serves as a compliance certification in accordance with Section 787.06(14) of the Florida Statutes, requiring the contractor to attest that it does not use coercion for labor or services as defined under Florida law. The document must be executed by an authorized representative of the contractor under penalties of perjury and requires notarization or online notarization. The affidavit form includes designated spaces for the contractor's name, the authorized representative's signature and printed name, execution date, Federal Work Authorization User Identification Number, the Pinellas County contract name and contract number, and the notary public's certification information including commission expiration date. This affidavit is one of multiple required compliance documents that bidders must complete and submit as part of their proposal for the exterior window cleaning services contract covering approximately 75 county-owned and county-leased facilities, with proposals due April 14, 2026, at 12:00 AM via the OpenGov procurement portal.
The Human Trafficking Affidavit is a mandatory pre-award compliance requirement for all contractors responding to this Pinellas County procurement and must be properly executed and notarized to be considered responsive. There are no exceptions or exemptions from this requirement, and failure to submit a completed affidavit may result in proposal rejection. The current incumbent contractor, Milclean USA LLC, operating under contract number 23-0066-ITB with a term through March 6, 2028, would also be required to maintain this compliance certification throughout the contract period. The affidavit does not involve financial considerations but is a critical legal and ethical commitment required before contract award authorization.
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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 |
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