2-Anti-Human Trafficking Affidavit.docx

DOCX document 40 KB Posted

Attached to
Occupational Medical Services/Drug & Alcohol Testing
Solicitation number
GEN2130705B1
Issued by
Broward County, Florida

About this file

This document is an Anti-Human Trafficking Affidavit for Broward County, Florida, specifically related to an Occupational Medical Services and Drug & Alcohol Testing contract. The affidavit requires vendors to affirm they do not use coercion for labor or services as defined in Section 787.06, Florida Statutes, and must be submitted with the vendor's proposal or within three business days of the county's request. The associated contract opportunity is an open-end procurement for occupational medical services and drug and alcohol testing programs for the Broward County Risk Management Division and potentially other county agencies.

The solicitation emphasizes electronic submission through BPRO, with vendors required to submit responses electronically and obtain a Submission Receipt. The contract includes procurement preferences for Small Business Enterprises (SBE) and County Business Enterprises (CBE), and provides a specified period for vendors to ask questions and seek clarification about the solicitation requirements. Vendors must follow specific submission guidelines, including immediately notifying the Purchasing Agent and contacting technical support if experiencing difficulties with electronic submission. The affidavit must be signed under penalties of perjury, with spaces for vendor name, signature, printed name, title, and date.

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Other files

File Type Posted
21-Addendum No. 3 - GEN2130705B1, Occupational Medical Services Drug Alcohol Testing.pdf PDF
6-Security Requirements.docx DOCX document
12-Specification and Requirements Exhibit A, GEN2130705B1, Synopsis of Medical Standards.pdf PDF
22-GEN2130705B1 Occupational Medical Services, Drug Alcohol Testing – Bid Table.pdf PDF
7-Litigation History.docx DOCX document
5-OESBD Ownership Disclosure.docx DOCX document
1-Domestic Partnership Act Certification.docx DOCX document
14-Specifications and Requirements, GEN2130705B1, Occupational Medical Srvcs-Drug Alcohol Testing.docx DOCX document
18-Specification and Requirements Attachment B, Divers Physical GEN2130705B1, Occupational Med Srvcs-Drug Alcohol Testing.pdf PDF
16-Specification and Requirements Exhibit C 14-90 GEN2130705B1, Occupational Medical Srvcs-Drug Alcohol Testing.pdf PDF
8-Location Certification - Invitation to Bid.docx DOCX document
11-General Conditions - Quotes and Bids.pdf PDF
20-Addendum No. 2 - GEN2130705B1, Occupational Medical Services Drug Alcohol Testing.pdf PDF
15-Specification and Requirements Attachment A, Swimmers Certificate GEN2130705B1, Occupational Med Srvcs-Drug Alcohol Testing.pdf PDF
19-Addendum No. 1 - GEN2130705B1, Occupational Medical Services Drug Alcohol Testing.pdf PDF
13-Specification and Requirements Exhibit B, GEN2130705B1, Vendor Physical Locations.pdf PDF
9-OESBD - Procurement Preferences SBE-CBE.docx DOCX document
17-Special Instructions to Vendors - GEN2130705B1, Occupational Medical Services Drug Alcohol Testing.docx DOCX document
10-Vendor Questionnaire - Quotes and Bids.docx DOCX document
3-Insurance Requirements - Quotes Bids.docx DOCX document
4-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 .