1-Anti-Human Trafficking Affidavit.docx

DOCX document 40 KB Posted

Attached to
Glass Replacement at FLL Terminal 1
Solicitation number
BLD2132243Q2
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 participating in the Glass Replacement at FLL Terminal 1 contract opportunity with the Aviation Department. The affidavit must be completed and submitted with the vendor's initial proposal or, if not provided at that time, within three business days of the County's request. The form serves as a certification that the vendor does not use coercion for labor or services as defined under Florida Statutes Section 787.06. Vendors who fail to submit the completed affidavit within the specified timeframe may be deemed nonresponsive and could face contract award or renewal complications.

The affidavit requires the vendor to provide their company name, authorized representative signature, printed name, title, and date of execution. The form is executed under penalties of perjury, binding the signatory to the accuracy of the stated compliance. This documentation is a standard procurement requirement for Broward County contracts and applies to all vendors, regardless of contract value or scope, ensuring organizational commitment to anti-trafficking compliance throughout the contract lifecycle.

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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 .