ITB202605_Directional_Boring_Services__Exhibit_J.pdf
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- Attached to
- Directional Boring Services
- Solicitation number
- ITB-2026-05
- Issued by
- Santa Rosa County, Mount Carmel CDP, Florida
About this file
This is an Affidavit of Compliance with Human Trafficking Laws form (Exhibit J) required by the City of Milton, Florida for contract ITB 2026.05 regarding Directional Boring Services. The affidavit must be executed by an authorized officer or representative of the nongovernmental entity (contractor) seeking to provide horizontal directional drilling (HDD) services for the installation, extension, maintenance, and repair of City-owned underground utility infrastructure including water, sewer, and natural gas systems on an as-needed, work-order basis within Milton and Santa Rosa County. The contractor must attest compliance with Florida Statute 787.06 concerning human trafficking laws, specifically confirming that the entity does not use coercion for labor or services. This affidavit represents a continuing obligation, requiring the contractor to promptly notify the City in writing of any changes that would render the statements inaccurate and to recertify upon each contract renewal or extension.
Submission of a false affidavit or violation of Florida Statute 787.06 constitutes grounds for immediate termination for cause and exposes the contractor to civil and criminal liability as set forth in Sections 16.1 and 9.15 of the Contract. The affidavit must be notarized and include the contractor's name, authorized signature, title, and date, along with the notary's signature, printed name, commission number, and commission expiration date. This compliance document is mandatory for all bidders submitting proposals for the directional boring services contract and must be executed prior to contract execution, renewal, or extension.
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Text version
EXHIBIT J - AFFIDAVIT OF COMPLIANCE WITH HUMAN
TRAFFICKING LAWS
Directional Boring Services
Authority: § 787.06, F.S.
Contract No. PW-DB-2026-01
In compliance with § 787.06(14), Florida Statutes, this Affidavit is executed by an officer or authorized representative of _____________________________________ (the
"Nongovernmental Entity") in connection with its execution, renewal, or extension of a contract with the City of Milton, Florida (the "Governmental Entity").
The undersigned, being first duly sworn, attests as follows:
1. Authority. I am an officer or authorized representative of the Nongovernmental Entity and am authorized to execute this Affidavit on its behalf.
2. No Coercion for Labor or Services. The Nongovernmental Entity does not use coercion for labor or services, as defined in § 787.06, Florida Statutes.
3. Continuing Obligation. This is a continuing representation. The Nongovernmental
Entity will promptly notify the City in writing of any change that renders any statement above inaccurate and will recertify upon each renewal or extension of the Contract.
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated herein are true and correct.
The Nongovernmental Entity understands that a violation of § 787.06, Florida Statutes, or submission of a false affidavit, is grounds for termination for cause under Section 16.1 of the
Contract and is subject to the consequences set forth in Section 9.15 of the Contract and applicable law, including civil and criminal liability.
Contractor: ___________________________________________
Authorized Signature: ______________________________________________
Printed Name: _____________________________________________________
Title: _____________________________________________
Date: ____________________________________________
STATE OF FLORIDA | COUNTY OF __________________
Sworn to (or affirmed) and subscribed before me by means of ☐ physical presence or ☐ online notarization this ____ day of ________________, 20, by
_______________________________________, who is ☐ personally known to me OR ☐ produced _______________________________ as identification.
Signature of Notary: ___________________________
Print Name: __________________________________
Commission No.: _______________________________
My Commission Expires: ________________________
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