1-Anti-Human Trafficking Affidavit.docx
DOCX document 40 KB Posted
- Solicitation number
- TCH2131666B1
- Issued by
- Broward County, Florida
About this file
This is an Anti-Human Trafficking Affidavit form required by Broward County, Florida for vendors participating in the Mobile Hotspots with Remote Management Platform Solution contract opportunity. The affidavit must be completed and returned with the vendor's initial submittal or within three business days of the County's request. The form certifies that the vendor does not use coercion for labor or services as defined in Section 787.06, Florida Statutes. Vendors must provide their company name, authorized signature, printed name of the signatory, title, and date. Failure to submit the completed affidavit within the specified timeframe may result in the vendor being deemed nonresponsive, which could jeopardize contract eligibility.
The affidavit is a mandatory compliance document that applies upon initial contract award, renewal, or extension with Broward County. The form requires the signatory to attest under penalties of perjury that the statements are true and accurate, establishing the vendor's commitment to ethical labor practices and human trafficking prevention compliance as a condition of contract participation.
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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 .