Human_Trafficking_Affidavit_11.20.25.pdf

This is a Human Trafficking Affidavit required by Pinellas County, Florida for Request for Proposal 26-0251 seeking employee benefits concierge and health navigation services. The affidavit, executed in accordance with Section 787.06(14) of Florida Statutes, requires the Contractor's authorized representative to attest under penalties of perjury that the Contractor does not use coercion for labor or services as defined in Florida law. The document must be notarized and includes fields for the contractor's name, the authorized representative's signature and printed name, date of execution, Federal Work Authorization User Identification Number, and the Pinellas County contract name and number. The affidavit requires notarization through either physical presence or online notarization, with the notary public providing their seal, printed name, and commission expiration date. This certification is one of several mandatory attestations required of all contractors responding to the RFP, along with the Foreign Countries of Concern Affidavit, Common Carrier Attestation, and execution of a HIPAA Business Associate Agreement.

The Human Trafficking Affidavit serves as a compliance and integrity requirement for all bidders on this procurement. All five invited vendors—Alight Health, Included Health, Quantum Health, Transcarent/Accolade, and Healthjoy—must complete and submit this executed affidavit as part of their proposal packages. The affidavit is a condition precedent to contract award and reflects Pinellas County's commitment to ensuring ethical labor practices and compliance with Florida statutory requirements. Contractors must also register with the Florida Division of Corporations, satisfy E-Verify requirements, and provide evidence of appropriate insurance coverage, with all documentation required prior to final award of the five-year contract term effective August 1, 2026.