2-Anti-Human Trafficking Affidavit.docx

DOCX document 40 KB Posted

Attached to
Safety Footwear Services
Solicitation number
TRN2131200B1
Issued by
Broward County, Florida

About this file

This is an Anti-Human Trafficking Affidavit form required by Broward County, Florida for the Safety Footwear Services contract opportunity. The affidavit must be completed and submitted by vendors as part of their solicitation response or within three business days of the County's request, and again upon contract award, renewal, or extension. Vendors who fail to comply within the specified timeframe may be deemed nonresponsive. The form 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, and must be signed by an authorized representative with their printed name, title, and date of certification.

The affidavit is a mandatory compliance document with no pricing, set-asides, or funding information associated with it. Vendors must provide complete and accurate information on the form to maintain eligibility for contract consideration. The form is dated September 9, 2024, and serves as a pre-award certification requirement for all vendors submitting responses to Broward County solicitations.

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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 .