2-Anti-Human Trafficking Affidavit.docx

DOCX document 40 KB Posted

Attached to
5-Gallon Bottled Water and Dispenser Rental
Solicitation number
OPN2130989B1
Issued by
Broward County, Florida

About this file

This is an Anti-Human Trafficking Affidavit required by Broward County, Florida for vendors participating in the solicitation for 5-Gallon Bottled Water and Dispenser Rental services. The affidavit must be completed and submitted with the vendor's proposal 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, and requires the vendor's authorized representative to sign under penalty of perjury. Failure to submit the completed affidavit within the specified timeframe may result in the vendor being deemed nonresponsive. The form was last updated on September 9, 2024.

This affidavit is a mandatory compliance document for all vendors bidding on Broward County contracts and must be resubmitted upon contract award, renewal, or extension. The requirement applies to the water and dispenser rental solicitation covering the Broward County Judiciary Complex, three satellite courthouses, and other county agencies as needed. Vendors should include this form with their initial submittal through BPRO to avoid delays in the evaluation process and potential disqualification from consideration.

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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 .