Human_Trafficking_Affidavit.docx
DOCX document 15 KB Posted
- Attached to
- Taxiway A Holding Bay
- Solicitation number
- 2026-ITB-028
- 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 the Florida Statutes 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 contracting entity and serves as a legal attestation that the nongovernmental entity and its subsidiaries or affiliates do not use coercion for labor or services as defined in Florida law. The document requires the executing party to confirm personal knowledge of the statements, acknowledge the definitions set forth in statute, and commit to immediate notification to the City should any future violations occur. The affidavit includes signature blocks for the authorized company representative and notary public, with space for company name, printed name, title, date, and notary commission expiration.
This affidavit is a mandatory compliance requirement for the Taxiway A Holding Bay construction project at Lakeland Linder International Airport. All bidders and awarded contractors must submit a completed and notarized human trafficking affidavit as part of their bid package to demonstrate compliance with Florida statutory requirements and City of Lakeland policies. The affidavit does not involve pricing, set-asides, or funding considerations but rather serves as a legal certification mechanism to ensure contractor compliance with anti-trafficking statutes and City procurement standards.
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Other files
| File | Type | Posted |
|---|---|---|
| LAL_TW_A_Holding_Bay_Bid_Form_Addendum_1.xlsx | XLSX spreadsheet | |
| Taxiway_A_Holding_Bay_(Addendum_#1_Revision).pdf | ||
| Taxiway_A_Holding_Bay.pdf | ||
| LAL_Taxiway_A_Holding_Bay_Plans_IFB_R1.pdf | ||
| LAL_Taxiway_A_Holding_Bay_Project_Manual_IFB.pdf | ||
| LAL_TW_A_Holding_Bay_Bid_Form.xlsx | XLSX spreadsheet | |
| Contractor_Safety_Evaluation_Form.pdf | ||
| PSM_-_Contractor_Annual_Audit_Form.pdf | ||
| Indemnification_2026_Contractor.doc | DOC document | |
| Indemnification_2026_Contractor_-_FDOT.docx | DOCX document | |
| Indemnification_2026_Consultant_-_FDOT.docx | DOCX document | |
| Indemnification_2026_Vendor.doc | DOC document | |
| Human_Trafficking_Affidavit.docx | DOCX document | |
| Indemnification_2026_Consultant.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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