1-Anti-Human Trafficking Affidavit.docx

DOCX document 40 KB Posted

Attached to
Shade Structure Installation
Solicitation number
BLD2132119B1
Issued by
Broward County, Florida

About this file

This is an Anti-Human Trafficking Affidavit form required by Broward County, Florida for vendors responding to the Shade Structure Installation contract opportunity at Quiet Waters Park. The affidavit must be completed and submitted with the vendor's initial proposal or within three business days of the County's request. Vendors who fail to comply within the specified timeframe may be deemed nonresponsive. The form requires the vendor to certify under penalty of perjury that the company does not use coercion for labor or services as defined in Florida Statutes Section 787.06, and must be signed by an authorized representative with printed name, title, and date.

The Shade Structure Installation project is a fixed-price contract for labor, equipment, services, and incidentals required to install a shade structure at Quiet Waters Park for the Broward County Parks and Recreation Division. Vendors must submit responses electronically through BPRO by the specified closing date and time, with a submission receipt required as proof of timely filing. The County's Office of Economic and Small Business Development has established an SBE Reserve for this solicitation. Vendors are required to hold appropriate County and State licenses and may submit questions for clarification through BPRO by the designated questions due date. The County will not accept submissions through any means other than BPRO.

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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 .