Human_Trafficking_Affidavit.docx
DOCX document 15 KB Posted
- Attached to
- ANNUAL SUBSTATION LANDSCAPE MAINTENANCE
- Solicitation number
- 2026-RFP-103
- Issued by
- Polk County, Florida
About this file
This is a Human Trafficking Affidavit required by the City of Lakeland, Florida for the Annual Substation Landscape Maintenance contract opportunity. The affidavit must be completed and signed by an authorized officer or representative of any nongovernmental entity executing, renewing, or extending a contract with the City of Lakeland. The contract is for basic landscape maintenance services at Lakeland Electric substations and related areas, intended to secure economical pricing while ensuring services are performed safely and produce aesthetically pleasing results. The solicitation will result in a one-year initial contract with four optional one-year renewal periods available upon mutual consent.
The affidavit requires the nongovernmental entity to attest under penalty of perjury that neither it nor any subsidiaries or affiliates use coercion for labor or services as defined in Section 787.06, Florida Statutes. The executing officer must confirm personal knowledge of the statements and authorize the affidavit on behalf of the entity. Should the entity engage in coercion for labor or services at any future point, it must immediately notify the City of Lakeland, and no contracts may be executed, renewed, or extended between the parties. The affidavit must be notarized and include the company name, authorized signature, printed name, title, date, and notary information.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Bid_Tab_2023-ITB-082.pdf | ||
| ANNUAL_SUBSTATION_LANDSCAPE_MAINTENANCE.pdf | ||
| Substation_Landscape_Maintenance.pdf | ||
| Indemnification_2026_Consultant_-_FDOT.docx | DOCX document | |
| Indemnification_2026_Contractor.doc | DOC document | |
| Indemnification_2026_Contractor_-_FDOT.docx | DOCX document | |
| Indemnification_2026_Vendor.doc | DOC document | |
| Indemnification_2026_Consultant.doc | DOC document | |
| PSM_-_Contractor_Audit_Form.pdf |
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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:______________________
File details come from the government source that posted it. Updated .