Human_Trafficking_Affidavit_11.20.25.pdf
PDF 115 KB Posted
- Attached to
- On-Airport Rental Car Concessionaires
- Solicitation number
- 26-0447-ITB
- Issued by
- Pinellas County, Florida
About this file
This is a Human Trafficking Affidavit required by Pinellas County, Florida, in accordance with Section 787.06 of the Florida Statutes, for the On-Airport Rental Car Concessionaires competitive sealed bid. The affidavit must be executed by an authorized representative of the contractor and attests that the contractor does not use coercion for labor or services. The document requires the contractor's authorized representative to sign under penalties of perjury, provide their printed name, date, and Federal Work Authorization User Identification Number. The affidavit must be notarized before a notary public and include the notary's seal, commission expiration date, and identification of the person who appeared before them. The contract opportunity involves awarding three to four non-exclusive on-airport rental car concessionaires with an initial contract term of sixty months (five years), with an anticipated start date of October 1, 2026.
The Human Trafficking Affidavit is a mandatory compliance document that all bidders must complete and submit as part of their proposal response. No pricing information, set-asides, incumbents, or other financial terms are specified within this affidavit itself; rather, it serves solely as a statutory certification requirement for doing business with Pinellas County. Contractors must ensure the affidavit is properly executed, notarized, and submitted along with their bid documentation to demonstrate compliance with Florida's anti-human trafficking regulations.
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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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