Volusia_Human_Trafficking_Affidavit.pdf
PDF 115 KB Posted
- Attached to
- Nano Filtration Membranes
- Solicitation number
- 25-B-164LS
- Issued by
- Volusia County, Florida
About this file
This is a Human Trafficking Attestation form required by Volusia County, Florida, for Solicitation Number 25-B-164LS, which pertains to the procurement of eighty-four (84) DOW FILMTEC NF90-400 nano-filtration membranes for the Halifax Plantation Water Treatment Plant in Ormond Beach, Florida. The solicitation was released on September 15, 2025, with a deadline for submitting questions on September 29, 2025, and bids due on October 15, 2025, at 3:01 pm. Electronic submissions are required through the county's eProcurement Portal, with delivery to Volusia County Water Resources and Utilities at 3151 East New York Avenue in DeLand, Florida. The contract is structured for an initial one-year term with no specified renewal options. The membranes must meet precise technical specifications including 400 square feet of active area, a 34 mil spacer, and a 1.125" product water tube capable of producing 9,500 GPD with greater than 97% stabilized MgSO4 rejection, and pricing will be evaluated on the lowest total cost including freight.
The attestation form requires all contractors to certify under penalty of perjury that they do not use coercion for labor or services, complying with Section 787.06(13) of the Florida Statutes. Coercion is defined broadly to include physical force, restraint, confinement, fraudulent inducement, document confiscation, financial harm, and provision of controlled substances for exploitation purposes. Contractors must immediately notify the County if they engage in coercive labor practices at any point during contract performance. Insurance requirements mandate comprehensive commercial general liability coverage with a minimum of $1,000,000 per occurrence and $2,000,000 general aggregate. The procurement does not include explicit set-aside designations for disadvantaged enterprises, and no specific budget range or funding source is detailed in the available documentation.
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Other files
| File | Type | Posted |
|---|---|---|
| Nano_Filtration_Membranes.pdf | ||
| Nano_Filtration_Membranes.pdf | ||
| Volusia_Human_Trafficking_Affidavit.pdf | ||
| Required_Types_and_Limits_of_Insurance,_25-B-164LS.pdf | ||
| Required_Types_and_Limits_of_Insurance,_25-B-164LS.pdf | ||
| 20205_84_Hailfax_Membrane_replacement_-_Scope_of_Work.docx | DOCX document | |
| PRIME-SUB_FORM_for_Contractors_rev._01.15.2025_(lock_before_publishing).xls | XLS spreadsheet | |
| 20205_84_Hailfax_Membrane_replacement_-_Scope_of_Work.docx | DOCX document | |
| Vendor_Contact_List.docx | DOCX document | |
| PRIME-SUB_FORM_for_Contractors_rev._01.15.2025_(lock_before_publishing).xls | XLS spreadsheet | |
| Vendor_Contact_List.docx | DOCX document |
Show all 11
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Text version
Contractor Name:
Solicitation Number: 25-B-164LS
HUMAN TRAFFICKING ATTESTATION
PURSUANT TO SECTION 787.06, FLORIDA STATUTES
Name of Entity/Contractor: ("Nongovernmental Entity")
This form has been completed by a duly authorized officer or representative of the Nongovernmental Entity in conjunction with the execution, renewal, or extension of a contract with County of Volusia, a governmental entity and political subdivision of the State of Florida, ("Governmental Entity") in compliance with Section 787.06(13), Florida Statutes, (2024).
The Nongovernmental Entity acknowledges that Section 787.06(13), Florida Statutes, provides that when a contract is executed, renewed, or extended between a nongovernmental entity and a governmental entity, the nongovernmental entity must provide the governmental entity with an affidavit signed by an officer or a representative of the nongovernmental entity under penalty of perjury attesting that the nongovernmental entity does not use coercion for labor or services. For purposes of this requirement, “labor” means work of economic or financial value and “services” means any act committed at the behest of, under the supervision of, or for the benefit of another. The term, “services” includes, but is not limited to, forced marriage, servitude, or the removal of organs.
Pursuant to Section 787.06, Florida Statutes, when a contract is executed, renewed, or extended between you, a nongovernmental entity, and Volusia County, a governmental entity in the State of Florida, you are hereby providing this affidavit under penalties of perjury that you do not use coercion to employ any person for labor or services. Coercion includes, without limitation, using or threatening to use physical force against any person; restraining, isolating, or confining or threatening to restrain, isolate, or confine any person without lawful authority and against her or his will; using lending or other credit methods to establish a debt by any person when labor or services are pledged as a security for the debt, if the value of the labor or services as reasonably assessed is not applied toward the liquidation of the debt, the length and nature of the labor or services are not respectively limited and defined; destroying, concealing, removing, confiscating, withholding, or possessing any actual or purported passport, visa, or other immigration document, or any other actual or purported government identification document, of any person; causing or threatening to cause financial harm to any person; enticing or luring any person by fraud or deceit; or providing a controlled substance as outlined in Schedule I or Schedule II of Section 893.03, Florida Statutes, to any person for the purpose of exploitation of that person.
This signed attestation is provided to the Governmental Entity to comply with the statutory requirement.
If, at any time in the future, the Nongovernmental Entity does use coercion for labor or services, the Nongovernmental Entity will immediately notify the Governmental Entity and no contracts may be executed, renewed, or extended between the parties.
This attestation is made for the benefit of, and reliance by, the Governmental Entity.
Under penalties of perjury, I declare that I have read the foregoing statement and that the facts stated in it are true.
Printed Name: Title:
Signature: Date:
File details come from the government source that posted it. Updated .