Human_Trafficking_Affidavit.docx
DOCX document 15 KB Posted
- Attached to
- Cloud Based Budget Software Replacement State and local contract opportunity
- Solicitation number
- 2026-RFP-018
- 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. The affidavit must be completed and notarized by an authorized officer or representative of any nongovernmental entity executing, renewing, or extending a contract with the City of Lakeland. The affidavit applies to the Cloud Based Budget Software Replacement project, a hosted, cloud-based budgeting software solution with a budgetary estimate of $120,000.
The affidavit requires the authorized representative 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 in Florida Statutes Section 787.06. The entity must commit to immediately notifying the City should it engage in coercion for labor or services at any point during the contract term, with the understanding that no contracts may be executed, renewed, or extended if such coercion occurs. The completed affidavit must include the company name, authorized signature, printed name, date, title, and notarization by a notary public, certifying the signatory's identity through physical presence, online notarization, or acceptable identification.
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Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| Cloud_Based_Budget_Software_Replacement.pdf | ||
| Cloud_Budget_Software_-_Evaluation_Criteria.docx | DOCX document | |
| Contractor_Safety_Evaluation_Form.pdf | ||
| PSM_-_Contractor_Annual_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 .