Human_Trafficking_Affidavit.docx
DOCX document 15 KB Posted
- Attached to
- Annual Tree Pruning & Removal Services
- Solicitation number
- 2026-RFP-122
- 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) of Florida Statutes for nongovernmental entities executing, renewing, or extending contracts with the municipality. The affidavit applies to the Annual Tree Pruning & Removal Services contract, which requires a qualified and experienced tree trimming contractor to provide supervision, labor, equipment, tools, materials, and supplies to support the City's urban forestry program. Services include pruning and removing trees and palms within the City's street rights-of-way, alleyways, parks, and other designated areas, with work potentially performed near energized power lines. The contractor must provide properly trained and equipped personnel capable of operating hydraulic lift trucks, with crews consisting of one crew leader and two groundsmen qualified in traffic control procedures. The contract shall be firm and valid through September 30, 2027, with four optional one-year renewals available upon mutual consent.
The affidavit requires an authorized officer or representative of the contracting entity to attest under penalty of perjury that the nongovernmental entity and its subsidiaries or affiliates do not use coercion for labor or services as defined by Florida Statutes. The affiant must confirm personal knowledge of the facts stated and agree to immediately notify the City of Lakeland if any future use of coercion for labor or services occurs, which would preclude contract execution, renewal, or extension. The document requires notarization by physical presence or online notarization, with completion of company identification, authorized signature, printed name, date, title, and notary public acknowledgment and seal.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Annual_Tree_Pruning_&_Removal_Services.pdf | ||
| Tree_Pruning_&_Removal_Services_Specification_2026.pdf | ||
| Indemnification_2026_Consultant.doc | DOC document | |
| Indemnification_2026_Consultant_-_FDOT.docx | DOCX document | |
| Indemnification_2026_Contractor.doc | DOC document | |
| PSM_-_Contractor_Audit_Form.pdf | ||
| Indemnification_2026_Contractor_-_FDOT.docx | DOCX document | |
| Indemnification_2026_Vendor.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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