1-Anti-Human Trafficking Affidavit.docx

DOCX document 40 KB Posted

Attached to
Aerial Mosquito Adulticide Application Services
Solicitation number
BLD2131909B1
Issued by
Broward County, Florida

About this file

This is an Anti-Human Trafficking Affidavit required by Broward County, Florida for vendors seeking to contract with the county for aerial mosquito adulticide application services. The affidavit must be completed and submitted with the vendor's initial proposal response, or within three business days of the county's request, and upon contract award, renewal, or extension. The form requires the vendor to declare under penalties of perjury that they do not use coercion for labor or services as defined in Section 787.06 of the Florida Statutes. Failure to fully comply with submission requirements within the stated timeframe may result in the vendor being deemed nonresponsive.

The affidavit is a mandatory compliance document that vendors must sign and date, providing their company name, authorized representative's printed name, title, and date of execution. This requirement applies to all vendors bidding on the open-end contract for aerial mosquito adulticide application services, which is available to Broward County's Highway & Bridge Maintenance Division and other county agencies with related service needs. The form was last updated on September 9, 2024, and serves as a certification of the vendor's adherence to anti-human trafficking standards as a condition of doing business with Broward County.

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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 .