2-Anti-Human Trafficking Affidavit.docx

DOCX document 40 KB Posted

Attached to
Liquid Carbon Dioxide and Monthly Rental Storage Tanks
Solicitation number
OPN2130342B2
Issued by
Florida

About this file

This is an Anti-Human Trafficking Affidavit form from Broward County, Florida, which is a supporting document for a state and local contract opportunity for Liquid Carbon Dioxide and Monthly Rental Storage Tanks for the Parks and Recreation Division. The affidavit must be returned with the vendor's submittal or submitted within three business days after the County's request, and vendors may be deemed nonresponsive for failure to comply within the stated timeframe. The form requires completion upon award, renewal, or extension of any contract with Broward County, and must be signed under penalties of perjury by an authorized representative of the vendor.

The affidavit serves as a legal declaration that the vendor does not use coercion for labor or services as defined in Section 787.06, Florida Statutes, demonstrating compliance with anti-human trafficking regulations. This requirement reflects Broward County's commitment to ensuring that contracted vendors maintain ethical labor practices and do not engage in human trafficking activities. The form includes standard fields for vendor identification, authorized signature, printed name, title, and date, and was dated September 9, 2024.

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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 .