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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| 4-Subcontractors-Subconsultants-Suppliers Requirement.docx | DOCX document | |
| 6-Litigation History.docx | DOCX document | |
| 7-OESBD - Procurement Preferences SBE-CBE.docx | DOCX document | |
| 2-Insurance Requirements - Quotes Bids.docx | DOCX document | |
| 12-Special Instructions to Vendors.pdf | ||
| 13-Specifications and Requirements.pdf | ||
| 5-Security Requirements.docx | DOCX document | |
| 10-Location Certification - Invitation to Bid.docx | DOCX document | |
| 11-Minimum Insurance Requirements.pdf | ||
| 8-Vendor Questionnaire - Quotes and Bids.docx | DOCX document | |
| 9-General Conditions - Quotes and Bids.pdf | ||
| 3-Summary of Vendor Rights for Broward County Competitive Solicitations.docx | DOCX document |
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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 .