Human_Trafficking_Affidavit.pdf
PDF 188 KB Posted
- Solicitation number
- RFP-26-24-CW
- Issued by
- Volusia County, Florida
About this file
This is a Human Trafficking Affidavit form required by the State of Florida (Volusia County) for entities bidding on the RFP 26-24-CW Re-Advertisement for the Elevation of Flood Prone Homes project. The affidavit requires an authorized officer or representative of a non-governmental entity doing business in Florida to attest under oath that the entity does not use coercion, as defined in Section 787.06 of the Florida Statutes, for labor or services. The affiant must confirm personal knowledge of the statements made and acknowledge that all facts stated are true and correct. The form requires the affiant's signature, printed name, title, date, and notarization by a Florida Notary Public. The notary must indicate whether the notarization occurred through physical presence or online and include their seal, printed name, commission number, and commission expiration date.
This affidavit serves as a compliance and certification document that prospective bidders on the elevation project must complete and submit. The requirement ensures that contractors and entities bidding on the eleven flood-prone home elevation structures comply with Florida's human trafficking statutes and maintain ethical labor practices. No pricing terms, set-asides, or funding amounts are specified in this particular document, as it functions solely as an attestation form rather than a procurement or pricing instrument.
View the file
Other files
Show all 40
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
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
File details come from the government source that posted it. Updated .