1-Anti-Human Trafficking Affidavit.docx

DOCX document 40 KB Posted

Attached to
Glass Replacement at FLL Terminal 1
Solicitation number
BLD2132243Q1
Issued by
Broward County, Fort Lauderdale City, Florida

About this file

This is an Anti-Human Trafficking Affidavit form required by Broward County, Florida for vendors responding to the Glass Replacement at FLL Terminal 1 solicitation with the Aviation Department. The affidavit must be completed and submitted with the vendor's initial submittal or within three business days of the County's request. The form serves as a declaration under penalties of perjury that the vendor does not use coercion for labor or services as defined in Section 787.06, Florida Statutes. Failure to provide the completed affidavit within the specified timeframe may result in the vendor being deemed nonresponsive.

The affidavit requires the vendor to provide their business name, authorized signatory's signature and printed name, title, and date of execution. All vendors are required to complete and return this form regardless of contract award, renewal, or extension status with Broward County. The form does not address pricing, set-asides, or funding mechanisms but serves as a compliance document to ensure vendors adhere to anti-trafficking standards under Florida law.

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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 .