Human_Trafficking_Affidavit_11.20.25.pdf
PDF 115 KB Posted
- Attached to
- 26-0449-RFP Rapid Rehousing Fiscal Administration & Service Provider Collaborative Program
- Solicitation number
- 26-0449-REQ
- Issued by
- Pinellas County, Florida
About this file
This is a Human Trafficking Affidavit form required by Pinellas County, Florida for the Rapid Rehousing Fiscal Administration & Service Provider Collaborative Program (RFP 26-0449-RFP). The affidavit, mandated under Section 787.06(14) of the Florida Statutes, requires an authorized representative of the contractor to attest under penalties of perjury that the contractor does not use coercion for labor or services. The document must be notarized and includes sections for the contractor's signature, printed name, date, Federal Work Authorization User Identification Number, the Pinellas County contract name and number, and notary acknowledgment. Bidders must submit this completed and notarized affidavit as part of their proposal response by the April 21, 2026 deadline at 3:00 p.m. via the OpenGov procurement portal to demonstrate compliance with mandatory human trafficking compliance requirements.
This affidavit is one of several mandatory compliance documents that all responding organizations must provide to participate in the RRH Program solicitation. The form serves as a legal certification of the contractor's commitment to ethical labor practices and compliance with Florida state law regarding human trafficking prevention. As a notarized document, it carries legal weight and requires verification by a Florida notary public who must confirm the identity of the signing official and document the date and method of notarization (physical presence or online).
View the file
Other files
Show 40 more
50 files listed here. See the rest on GovTribe.
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .