2-Anti-Human Trafficking Affidavit.docx

This is an Anti-Human Trafficking Affidavit required by Broward County, Florida for vendors responding to the Instrumentation Gases contract opportunity. The affidavit must be completed and submitted with the vendor's initial solicitation response or within three business days of the County's request. The document requires vendors to declare under penalties of perjury that they do not use coercion for labor or services as defined in Section 787.06, Florida Statutes. Vendors who fail to provide the completed affidavit within the specified timeframe may be deemed nonresponsive and could face contract award rejection or denial of renewal or extension.

The affidavit form includes fields for the vendor name, authorized signatory signature, printed name of signatory, title, and date of execution. The form is dated September 9, 2024, and applies to all Broward County contract awards, renewals, and extensions. Completion of this compliance document is mandatory for participation in the Instrumentation Gases solicitation, which covers the purchase of gas cylinders with delivery and retrieval services for multiple County departments and facilities.