Human_Trafficking_Affidavit.pdf
PDF 188 KB Posted
- Attached to
- City Center Sport Complex Ballfields Restoration
- Solicitation number
- ITB-26-22-CW
- Issued by
- Volusia County, Florida
About this file
This is a Human Trafficking Affidavit required under Section 787.06, Florida Statutes, for use in Volusia County, Florida, in connection with the City Center Sport Complex Ballfields Restoration project. The affidavit serves as a sworn attestation by an authorized representative of a non-governmental entity doing business in Florida that the entity does not use coercion, as defined by Florida law, to obtain labor or services. The document requires the affiant to provide personal identification, title, and organizational affiliation, and must be executed before a notary public either through physical presence or online notarization. The affiant attests under penalties of perjury that all statements contained in the document are true and correct and that they possess personal knowledge of the facts stated.
This affidavit appears to be a compliance requirement for contractors or service providers bidding on or working with the City Center Sport Complex Ballfields Restoration project, which involves excavation, soil removal, remediation of legacy landfill materials, geotextile membrane installation, and reconstruction of ballfields and associated site improvements. The document does not specify pricing, contract terms, award dates, or other substantive contract details but functions as a pre-qualification or compliance certification that demonstrates the entity's commitment to lawful labor practices and adherence to Florida anti-human trafficking statutes.
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Text version
HUMAN TRAFFICKING AFFIDAVIT
(SECTION 787.06, FLORIDA STATUTES)
STATE OF FLORIDA §
COUNTY OF VOLUSIA §
The undersigned (“Affiant”), on behalf of the entity listed below (“Entity”), after being duly sworn, hereby attests as follows:
1. My name is ______________________________. I am over the age of Twenty-one years old. I am the
_______________________ of___________________________________, a non- governmental entity which does (Title) (Business Name) business in the State of Florida, hereinafter called the “Entity.”
2. I have personal knowledge of each and every statement of fact contained herein, and each and every statement of fact is true and correct.
3. Entity does not use coercion, as defined in Section 787.06, Florida Statutes, for labor or services.
4. The undersigned is an officer or representative of the entity and is authorized to execute this affidavit on behalf of the Entity.
5. Under penalties of perjury, I declare that I have read the foregoing Human Trafficking Affidavit and that the facts stated herein are true.
Further Affiant sayeth not.
Date: _______________________, 20____ Signed: ___________________________________________ Print Name: ______________________________________ Title: ________________________________________________________
SUBSCRIBED AND SWORN before me by means of [_XX_] physical presence or [__] online notarization on the _____ day of _____________, 20___ by ___________________________ as _________________ on behalf of _______________________________________ who is personally known to me or who has produced ______________________________ as identification.
(Notary Seal) _____________________________________ Notary Public, State of Florida Printed name, commission and expiration of commission term
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