Human_Trafficking_Affidavit.docx
DOCX document 15 KB Posted
- Attached to
- Annual Towing Services
- Solicitation number
- 2026-RFP-117
- Issued by
- Polk County, Florida
About this file
This is a Human Trafficking Affidavit required by the City of Lakeland, Florida for nongovernmental entities executing, renewing, or extending contracts with the municipality. The affidavit must be completed and notarized by an authorized officer or representative of the contractor. The document pertains to the City of Lakeland's Annual Towing Services contract opportunity, which seeks qualified contractors to provide towing, recovery, and transportation services for city-owned and leased vehicles and equipment on a twenty-four-hour, seven-day-per-week basis, including weekends and holidays. Proposals will be evaluated based on cost, location and service coverage, experience and past performance, and operational capacity and response capability.
The affidavit requires the contractor to attest under penalty of perjury that the nongovernmental entity and any subsidiaries or affiliates do not use coercion for labor or services as defined in Section 787.06 of the Florida Statutes. The contractor must commit to immediately notifying the City if any such coercion occurs in the future, which would prevent execution, renewal, or extension of contracts between the parties. The document must be completed with the company name, authorized signature, printed name, date, title, and notarized with the notary public's signature, stamp or seal, and commission expiration date. This affidavit is a mandatory compliance requirement for the towing services contract opportunity.
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Other files
| File | Type | Posted |
|---|---|---|
| Annual_Towing_Services_(Addendum_#3_Revision).pdf | ||
| Annual_Towing_Services.pdf | ||
| Indemnification_2026_Consultant.doc | DOC document | |
| Indemnification_2026_Consultant_-_FDOT.docx | DOCX document | |
| Indemnification_2026_Contractor.doc | DOC document | |
| Indemnification_2026_Vendor.doc | DOC document | |
| PSM_-_Contractor_Audit_Form.pdf | ||
| Indemnification_2026_Contractor_-_FDOT.docx | DOCX 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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