1-Anti-Human Trafficking Affidavit.docx

DOCX document 40 KB Posted

Attached to
Phoenix LED Floodlights
Solicitation number
BLD2132882B1
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 Phoenix LED Floodlights procurement for the Port Everglades Department. The affidavit must be completed and submitted with the vendor's proposal response. If not included with the initial submittal, vendors must provide the form within three business days of the County's request, and it is also required upon contract award, renewal, or extension. Failure to comply with submission requirements within the stated timeframe may result in the vendor being deemed nonresponsive. All solicitation responses must be submitted electronically through BPRO by the specified closing date and time, with vendors receiving a submission receipt upon completion.

The affidavit requires vendors to certify under penalties of perjury that they do not use coercion for labor or services as defined in Section 787.06, Florida Statutes. The form must be signed by an authorized representative of the vendor and include the vendor name, printed name, title, and date. The form is dated September 9, 2024. Vendors are cautioned to review the full solicitation requirements, including Office of Economic and Small Business Development (OESBD) preferences for Small Business Enterprises (SBE) and County Business Enterprises (CBE). The County provides a designated timeframe for vendors to submit questions and seek clarification through BPRO's Messages section, and technical submission support is available through support@gobonfire.com.

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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 .