Human_Trafficking_Affidavit.docx
DOCX document 15 KB Posted
- Attached to
- Recruitment Services State and local contract opportunity
- Solicitation number
- 2026-RFP-057
- Issued by
- Polk County, Florida
About this file
This is a Human Trafficking Affidavit required by the City of Lakeland, Florida in compliance with Section 787.06(14), Florida Statutes. The affidavit must be completed and executed by an authorized officer or representative of any nongovernmental entity entering into, renewing, or extending a contract with the City. The affidavit serves as a certification that the nongovernmental entity and its subsidiaries or affiliates do not use coercion for labor or services as defined under Florida law. The document requires the signatory to attest under penalty of perjury to the accuracy of the statements made and affirms that if the entity engages in coercion for labor or services at any future time, it will immediately notify the City and acknowledge that no contracts may be executed, renewed, or extended between the parties. The affidavit must be notarized by a notary public who verifies the signatory's identity through physical presence or online notarization.
The affidavit is directly related to the City of Lakeland's solicitation for executive search firm recruitment services, which establishes a pool of qualified firms to conduct national recruitments for executive-level positions across municipal departments and enterprise operations. All prospective vendors responding to this solicitation are required to complete and submit this affidavit as a compliance document prior to contract award. This requirement ensures that all selected recruitment service providers meet the City's human trafficking compliance standards under Florida law and maintains ethical sourcing and employment practices throughout the recruitment process.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| Recruitment_Services_(Addendum_#1_Revision).pdf | ||
| CCO_Ordinance_-_5912_-_21-059_-_APPROVED_-_1-3-2022_-_LOCAL_VENDOR_PREFERENCE.pdf | ||
| Indemnification_2026_Consultant_-_FDOT.docx | DOCX document | |
| Indemnification_2026_Contractor_-_FDOT.docx | DOCX document | |
| Indemnification_2026_Vendor.doc | DOC document | |
| Contractor_Safety_Evaluation_Form.pdf | ||
| PSM_-_Contractor_Annual_Audit_Form.pdf | ||
| Indemnification_2026_Consultant.doc | DOC document | |
| Indemnification_2026_Contractor.doc | DOC document |
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Text version
HUMAN TRAFFICKING AFFIDAVIT
In compliance with Section 787.06(14), Florida Statutes, this Affidavit must be completed by an officer or representative of a nongovernmental entity that is executing, renewing, or extending a contract with the City of Lakeland, Florida (the “Governmental Entity”).
The undersigned, on behalf of the entity listed below (the “Nongovernmental Entity”), hereby attests under penalty of perjury as follows:
1. I am over the age of 18 and I have personal knowledge of the matters set forth herein.
2. I am an officer or representative of_________________________, a Nongovernmental entity and I am authorized to provide this affidavit on behalf of Nongovernmental Entity.
3. Nongovernmental Entity, and any of its subsidiaries or affiliates, do not use coercion for labor or services, as those terms are defined in Section 787.06, Florida Statutes, as may be amended from time to time.
4. If, at any time in the future, Nongovernmental Entity does use coercion for labor or services, Nongovernmental Entity will immediately notify Governmental Entity and no contracts may be executed, renewed, or extended between the parties.
5. I have read the foregoing affidavit and confirm that the facts stated in it are true, and are made for the benefit of, and reliance by Governmental Entity.
Company: _______________________________________________ Authorized Signature: _____________________________________ Printed Name:____________________________________________ Date:______________________ Title: ____________________________________________________
STATE OF _________________
COUNTY OF _______________
The foregoing instrument was acknowledged before me by means of ☐ physical presence or ☐ online notarization, this ____ day of ________________, 20____, by _________________________________, as _________________________ on behalf of the company/corporation. They ☐ are personally known to me or ☐ have produced _________________ as identification.
Notary Public Signature (Affix Notary Stamp or Seal) Print, Type or Stamp Name of Notary:__________ My commission expires:______________________
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