1-Anti-Human Trafficking Affidavit.docx

DOCX document 40 KB Posted

Attached to
Everpure Data Storage Hardware, Software, and Services
Solicitation number
PNC2131219B1
Issued by
Broward County, Florida

About this file

This is an Anti-Human Trafficking Affidavit form required by Broward County, Florida for vendors submitting bids or entering into contracts with the county. The affidavit must be completed and returned with the vendor's submittal for the Everpure Data Storage Hardware, Software, and Services contract opportunity. If the form is not provided at the time of submittal, the vendor must submit it within three business days of the county's request, or upon award, renewal, or extension of any contract with Broward County. Failure to comply with this requirement within the stated timeframe may result in the vendor being deemed nonresponsive.

The affidavit requires the vendor to declare, under penalties of perjury, that the company does not use coercion for labor or services as defined in Section 787.06, Florida Statutes. The form requires the vendor to provide their company name, authorized signature, printed name of the signatory, title, and date of execution. This compliance document is a mandatory requirement for participation in Broward County contracting opportunities and applies to both new contract awards and renewals or extensions of existing agreements.

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Text version

ANTI-HUMAN TRAFFICKING AFFIDAVIT

This completed form should be returned with the Vendor’s submittal. If not provided with the submittal, the Vendor must submit this form within three (3) business days after the County’s request and upon award, renewal, or extension of a contract with Broward County. The Vendor may be deemed nonresponsive for failure to fully comply within the stated timeframe.

The Vendor indicated below does not use coercion for labor or services, as such terms are defined in Section 787.06, Florida Statutes.

Under penalties of perjury, the undersigned declares that they have read the foregoing statement and that the facts stated in it are true.

Vendor Name: Click or tap here to enter text.

Signature:

Printed Name: Click or tap here to enter text.

Title: Click or tap here to enter text.

Date: Click or tap to enter a date.

Form Date 9/9/24

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