Human_Trafficking_Affidavit_.pdf
PDF 134 KB Posted
- Attached to
- Marine Engineering Continuing Contract
- Solicitation number
- RSQ 25-065
- Issued by
- Lee County, Fruitville CDP, Florida
About this file
This is a Human Trafficking Affidavit required by the City of Fort Myers, Florida in compliance with Section 787.06(13) of Florida Statutes. The affidavit must be completed and signed by an authorized officer or representative of any nongovernmental entity executing, renewing, or extending a contract with the City. The form requires the signatory 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 Statutes, and commits the entity to immediately notify the City should any such coercion occur in the future. The affidavit must be notarized, with the notary public providing their signature, stamp or seal, and commission expiration date. Completion of this affidavit is a mandatory compliance requirement for the Marine Engineering Continuing Contract solicitation (RSQ 25-065), with submission required by the October 21, 2025 deadline at 2:00 pm.
The Human Trafficking Affidavit serves as a prerequisite compliance document with no direct pricing or financial implications for the bidder. This document is part of a broader set of mandatory bidder requirements established by the City of Fort Myers that also includes E-Verify participation and adherence to federal regulations under 2 CFR Part 200. Failure to submit the completed and notarized affidavit will likely result in the bidder's proposal being deemed non-responsive. The affidavit creates an ongoing obligation for the selected contractor throughout the contract term, including any renewal periods, to maintain compliance with anti-human trafficking requirements.
View the file
Other files
Show all 17
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
H U M A N T R A F F I C K I N G A F F I D A V I T
In compliance with Section 787.06(13), 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 _______________ (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 non-governmental 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: Date: _____________
Printed Name:
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:______________________
| contract with the City of: |
| I am an officer or representative of: |
| Company: |
| Date: |
| Printed Name: |
| Title: |
| STATE OF: |
| COUNTY OF: |
| The foregoing instrument was acknowledged before me by means of: Off |
| physical presence or: Off |
| online notarization this 1: |
| online notarization this 2: |
| day of: |
| 20: |
| as: |
| companycorporation They: Off |
| are personally known to me or: Off |
| as identification: |
| Print Type or Stamp Name of Notary: |
| My commission expires: |
File details come from the government source that posted it. Updated .