Human_Trafficking_Affidavit.pdf
PDF 163 KB Posted
- Attached to
- Jet Skis State and local contract opportunity
- Solicitation number
- 26-Q-11LS
- Issued by
- Volusia County, Florida
About this file
This is a Human Trafficking Attestation form required by Volusia County, Florida, pursuant to Section 787.06 of the Florida Statutes for execution, renewal, or extension of contracts with the county. The form applies to the competitive bid procurement #26-Q-11LS for the purchase of two (2) 2025 Yamaha VX Deluxe Jet Skis with Audio for the Volusia County Beach Safety Division. The solicitation was released on October 17, 2025, with responses due by October 24, 2025, at 11:59 pm through electronic submission via the county's procurement portal. Award will be made to the lowest responsive and responsible bidder, with evaluation based on total cost, compliance with specifications, and adherence to local, state, and federal regulations. The jet skis must be delivered to 1270 Indian Lake Rd., Daytona Beach, FL 32124, and must include the original manufacturer's statement of origin, repair manual, and be fully assembled with no graphics or decals in red color.
The procurement budget is capped at $50,000 with pricing to include all associated costs and freight. Vendors must comply with E-Verify requirements and maintain $1,000,000 in Commercial General Liability insurance and Workers Compensation with Florida Statutory Coverage, with the county listed as additional insured and thirty (30) days written notice required for any cancellations. All bidders must complete and sign the Human Trafficking Attestation under penalty of perjury, attesting that they do not use coercion for labor or services, including forced labor, servitude, document confiscation, financial harm, fraud, or provision of controlled substances. Standard manufacturer warranties apply, and invoicing occurs upon delivery. The form requires the contractor name, vendor ID, contract number, authorized representative signature, printed name, title, and date to be completed by the executing contractor.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| Jet_Skis.pdf | ||
| Jet_Skis.pdf | ||
| Human_Trafficking_Affidavit.pdf | ||
| Required_Types_and_Limits_of_Insurance.pdf | ||
| Required_Types_and_Limits_of_Insurance.pdf | ||
| PO-MA_Terms_and_Conditions_03-27-2025.pdf | ||
| PO-MA_Terms_and_Conditions_03-27-2025.pdf |
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Text version
Contractor Name:
Vendor (VSS) ID:
Contract Number:
HUMAN TRAFFICKING ATTESTATION
PURSUANT TO SECTION 787.06, FLORIDA STATUTES
Name of Entity/Contractor: ("Nongovernmental Entity")
This form has been completed by a duly authorized officer or representative of the Nongovernmental Entity in conjunction with the execution, renewal, or extension of a contract with County of Volusia, a governmental entity and political subdivision of the State of Florida, ("Governmental Entity") in compliance with Section 787.06(14), Florida Statutes, (2025).
The Nongovernmental Entity acknowledges that Section 787.06(14), Florida Statutes, provides that when a contract is executed, renewed, or extended between a nongovernmental entity and a governmental entity, the nongovernmental entity must provide the governmental entity with an affidavit signed by an officer or a representative of the nongovernmental entity under penalty of perjury attesting that the nongovernmental entity does not use coercion for labor or services. For purposes of this requirement, “labor” means work of economic or financial value and “services” means any act committed at the behest of, under the supervision of, or for the benefit of another. The term, “services” includes, but is not limited to, forced marriage, servitude, or the removal of organs.
Pursuant to Section 787.06, Florida Statutes, when a contract is executed, renewed, or extended between you, a nongovernmental entity, and Volusia County, a governmental entity in the State of Florida, you are hereby providing this affidavit under penalties of perjury that you do not use coercion for labor or services. Coercion includes, without limitation, using or threatening to use physical force against any person; restraining, isolating, or confining or threatening to restrain, isolate, or confine any person without lawful authority and against her or his will; using lending or other credit methods to establish a debt by any person when labor or services are pledged as a security for the debt, if the value of the labor or services as reasonably assessed is not applied toward the liquidation of the debt, the length and nature of the labor or services are not respectively limited and defined; destroying, concealing, removing, confiscating, withholding, or possessing any actual or purported passport, visa, or other immigration document, or any other actual or purported government identification document, of any person; causing or threatening to cause financial harm to any person; enticing or luring any person by fraud or deceit; or providing a controlled substance as outlined in Schedule I or Schedule II of Section 893.03, Florida Statutes, to any person for the purpose of exploitation of that person.
This signed attestation is provided to the Governmental Entity to comply with the statutory requirement.
If, at any time in the future, the Nongovernmental Entity does use coercion for labor or services, the Nongovernmental Entity will immediately notify the Governmental Entity and no contracts may be executed, renewed, or extended between the parties.
This attestation is made for the benefit of, and reliance by, the Governmental Entity.
Under penalties of perjury, I declare that I have read the foregoing statement and that the facts stated in it are true.
Printed Name: Title:
Signature: Date:
26-Q-11LS
MLSmith Inserted Text
File details come from the government source that posted it. Updated .