2-Anti-Human Trafficking Affidavit.docx
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- Solicitation number
- OPN2129852B2
- Issued by
- Broward County, Florida
About this file
This is an Anti-Human Trafficking Affidavit form required by Broward County, Florida, for vendors submitting proposals for the New Actuators, Actuator Parts, Accessories & Repair Services contract opportunity. The form must be completed and returned with the vendor's submittal, or submitted within three business days after the County's request upon award, renewal, or extension of the contract. The underlying contract is an open-end agreement for furnishing and delivering new replacement motor and electro-hydraulic actuators, including parts and accessories for Broward County's Water & Wastewater Services and other county agencies. Vendors must submit responses electronically through BPRO and receive a submission receipt, with all questions and clarifications to be submitted through the same platform by the specified due date.
The affidavit requires vendors to declare under penalty of perjury that they do not use coercion for labor or services as defined in Section 787.06, Florida Statutes. Vendors may be deemed nonresponsive for failure to comply with the affidavit submission requirements within the stated timeframe. Living Wage Office of Economic and Small Business Development requirements are not applicable to this solicitation. The form includes spaces for vendor name, signature, printed name, title, and date, and was last updated on September 9, 2024.
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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 .