Human_Trafficking_Affidavit_11.20.25.pdf

PDF 115 KB Posted

Attached to
Artificial Reef - Tire Removal Project State and local contract opportunity
Solicitation number
26-0349-RFP
Issued by
Pinellas County, Florida

About this file

This is a Human Trafficking Affidavit required by Pinellas County, Florida for contractors bidding on the Artificial Reef - Tire Removal Project. The affidavit is a compliance document that requires an authorized representative of the contracting company to attest, under penalties of perjury, that the contractor does not use coercion for labor or services as defined in Section 787.06 of the Florida Statutes. The document must be notarized and includes fields for the contractor's authorized representative signature, printed name, date, Federal Work Authorization User Identification Number, the name and contract number of the Pinellas County contract, and notary public acknowledgment with commission expiration date. The affidavit is one of several mandatory compliance requirements for the tire removal RFP, alongside a Common Carrier Attestation, Foreign Countries of Concern Affidavit, and E-Verify system registration. Proposals for the project, which involves removing approximately 3,300 tires from five artificial reef areas off the Pinellas County coast, must be submitted electronically through the OpenGov procurement website by April 16, 2026 at 3:00 p.m., with a question submission deadline of March 31, 2026 at 12:00 p.m.

The contract term is twelve months from the date of award with one optional twelve-month renewal period available at the same prices, terms, and conditions subject to County approval. Pricing must be submitted as lump sum unit costs for mobilization and tire removal/transport/unloading services for each of the five reef locations, with all costs remaining firm for the contract duration. Contractors must demonstrate at least five years of experience in marine salvage or debris removal from sensitive habitats and provide references from four customers for similar services. Comprehensive insurance coverage is required, including workers' compensation, commercial general liability ($1,000,000 combined single limit), business automobile liability ($1,000,000), excess/umbrella liability ($1,000,000), and watercraft liability ($1,000,000), with no performance security required. No incumbent vendor or budget range information is provided in the solicitation documents; however, the County will obtain any required Environmental Resource Permit through the Florida Department of Environmental Protection at no cost to the contractor.

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Attachment_D.pdf PDF
Attachment_D.pdf PDF
Attachment_E.pdf PDF
Attachment_F.pdf PDF
Attachment_E.pdf PDF
Attachment_F.pdf PDF
Attachment_D.pdf PDF
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Attachment_A.pdf PDF
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Attachment_C.pdf PDF
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Notice_of_Intent_to_Sole_Source_07-25-2023.pdf PDF
Non-Competitive_Oversight_Committee_Justification_Form.docx DOCX document
Foreign_Countries_of_Concern_Affidavit_12.11.2025.pdf PDF
Common_Carrier_Attestation_02.05.2025.pdf PDF
Foreign_Countries_of_Concern_Affidavit_12.11.2025.pdf PDF
Non-Competitive_Oversight_Committee_Justification_Form.docx DOCX document
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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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