2-Anti-Human Trafficking Affidavit.docx

DOCX document 40 KB Posted

Attached to
Aerial Mosquito Adulticiding Service
Solicitation number
BLD2131909B2
Issued by
Broward County, Florida

About this file

This is an Anti-Human Trafficking Affidavit required by Broward County, Florida for vendor participation in the Aerial Mosquito Adulticiding Service contract. The affidavit must be completed and submitted with the vendor's proposal response or, if not provided at initial submittal, within three business days of the County's request. The affidavit certifies that the vendor does not use coercion for labor or services as defined in Section 787.06, Florida Statutes. Vendors who fail to comply with submission requirements within the stated timeframe may be deemed nonresponsive and subject to rejection. The form requires the vendor to provide their company name, signature, printed name of signatory, title, and date of certification.

The affidavit applies to all vendors seeking to contract with Broward County for aerial mosquito adulticide application services. Submission of this form is mandatory upon initial contract award, renewal, or extension. Vendors must submit all solicitation responses electronically through BPRO and obtain a submission receipt to ensure compliance with County procurement procedures. The County will not accept responses submitted through alternative means, and vendors are responsible for ensuring timely submission prior to the closing deadline.

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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 .