Human_Trafficking_Affidavit.docx
DOCX document 15 KB Posted
- Attached to
- Identity and Access Management (IAM) Solution
- Solicitation number
- 2026-RFP-133
- Issued by
- Polk County, Florida
About this file
This is a Human Trafficking Affidavit form required by the City of Lakeland, Florida, in compliance with Section 787.06(14) of the 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 document requires the executing party to attest under penalty of perjury that the entity and its subsidiaries or affiliates do not use coercion for labor or services as defined in Florida law. The affidavit includes standard attestation provisions, signature blocks for company authorization, and notarization requirements with options for physical presence or online notarization.
The affidavit serves as a compliance mechanism for the City of Lakeland's contractual requirements and must be submitted by vendors responding to solicitations, including the Identity and Access Management (IAM) Solution RFP with a budgetary estimate of $150,000. Vendors must provide an executed and notarized copy of this affidavit as part of their proposal submission. Non-compliance with this requirement or any future violation of the coercion standards outlined in the affidavit may result in ineligibility for contract execution, renewal, or extension with the City.
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Other files
| File | Type | Posted |
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| Identity_and_Access_Management_(IAM)_Solution.pdf | ||
| IAM_Vendor_Evaluation_Scorecard.docx | DOCX document | |
| PSM_-_Contractor_Audit_Form.pdf | ||
| Indemnification_2026_Consultant.doc | DOC document | |
| Indemnification_2026_Vendor.doc | DOC document | |
| Indemnification_2026_Consultant_-_FDOT.docx | DOCX document | |
| Indemnification_2026_Contractor.doc | DOC document | |
| 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:______________________
File details come from the government source that posted it. Updated .