REVISED_Human_Traffic_Affidavit.pdf

PDF 122 KB Posted

Attached to
RFP 26-057 Promotional Products and Custom Logo Apparel & Accessories
Solicitation number
RFP 26-057
Issued by
Citrus County, Florida

About this file

This is a Human Trafficking Affidavit for Nongovernmental Entities required by Citrus County, Florida in accordance with Florida Statutes Section 787.06. The affidavit serves as a compliance document for RFP 26-057 regarding promotional products and custom logo apparel and accessories. Respondents must attest under penalty of perjury that their entity does not use coercion for labor or services as defined by Florida human trafficking statutes. The affidavit requires the signatory's authorized representative to execute the document, provide the entity name and address, and have the affidavit notarized either through physical presence or online notarization before submission with the proposal. The deadline for proposal submission is February 3, 2026 at 2:00 PM, with the public proposal opening scheduled for 2:15 PM via Microsoft Teams. The contract award is anticipated for March 31, 2026, with an initial two-year term and options to renew for three additional one-year periods.

Execution of this affidavit is mandatory for all nongovernmental entities bidding on the promotional products contract. The document requires notarization and formal attestation by an authorized representative, with false statements subject to fines and imprisonment. No pricing, funding, or financial information is contained within the affidavit itself, as it functions solely as a compliance and attestation requirement. The affidavit must be submitted as part of the complete proposal package along with other required documentation, samples, and pricing proposals to be considered for contract award.

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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 F o r N o n g o v e r n m e n t a l E n t i t i e s P u r s u a n t t o F . S . 7 8 7 . 0 6

C i t r u s C o u n t y , F l o r i d a A g r e e m e n t # _______________

In accordance with Section 787.06 (13), Florida Statutes, the undersigned, on behalf of the entity named below (“Entity”), hereby attests under penalty of perjury that the Entity does not use coercion for labor or services as defined in Section 787.06, Florida Statutes, entitled “Human Trafficking”.

I understand that I am swearing or affirming under oath to the truthfulness of the claims made in this affidavit and that the punishment for knowingly making a false statement includes fines and/or imprisonment.

The undersigned is authorized to execute this affidavit on behalf of Entity.

(Signatory Signature) (Entity Name)

(Print Name) (Address)

State of

County of

The foregoing instrument was acknowledged before me by means of ☐ physical presence or ☐ online notarization, this by , known to me to be the person described herein, or who produced as identification, and who did/did not take an oath.

NOTARY PUBLIC:

(Signature)

(Print Name)

My commission expires:

File details come from the government source that posted it. Updated .