Human_Trafficking_Affidavit.pdf
PDF 116 KB Posted
- Solicitation number
- RFQ2026013
- Issued by
- Polk County, Lake Harbor CDP, Florida
About this file
This is a Human Trafficking Affidavit document required by Section 787.06, Florida Statutes, as amended by HB 7063, for contractors entering into agreements with governmental entities in Florida. The affidavit must be completed and executed by an authorized representative of the contractor prior to contract execution, amendment, or renewal. The form requires the contractor to attest that it does not use coercion for labor or services as defined in Florida law. The affidavit is associated with the Connect Kissimmee Complete Streets Phase 1 project, which seeks Construction Engineering and Inspection (CEI) services from an FDOT pre-qualified consulting firm for work along Emmett Street and Broadway from Orlando Avenue to Neptune Road in Kissimmee, Florida.
The affidavit serves as a compliance mechanism ensuring contractors meet human trafficking prevention standards established under Florida law. Completion requires the printed name, title, and signature of an authorized contractor representative, along with the contractor's legal company name and date of execution. The attestation is made under the penalties of perjury in accordance with Section 92.525, Florida Statutes. This document must be submitted to the county governmental entity before the associated contract becomes effective, making it a mandatory prerequisite for contract award and performance on the Connect Kissimmee Complete Streets Phase 1 professional services solicitation.
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Est. 07.15.2024
HUMAN TRAFFICKING AFFIDAVIT
The Human Trafficking Affidavit is required by Section 787.06, Florida Statutes (“F.S.”), as amended by HB 7063, which is deemed as being expressly incorporated into this Form. The Form must be completed by a person authorized to make this attestation on behalf of the Contractor (Nongovernmental Entity) for the purpose of executing, amending, or renewing a Contract with the County (Governmental Entity). The associated Contract shall not become effective unless and until this completed and executed Form is submitted to the County (Governmental Entity). The term Governmental Entity has the same meaning as in Section 287.138(1), F.S.
______________________________ does not use coercion for labor or services as defined in Section 787.06, F.S.
Contractor’s Legal Company Name
Pursuant to Section 92.525, F.S., under the penalties of perjury, I declare that I have read the foregoing statement and that the facts stated in it are true.
Print Name of Contractor’s Authorized Representative:
Title of Contractor’s Authorized Representative:
Signature of Contractor’s Authorized Representative:
Date:
| Contractors Legal Company Name: |
| Print Name: |
| Print Title: |
| Date: |
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