2-Anti-Human Trafficking Affidavit.docx

DOCX document 40 KB Posted

Attached to
Resurface Pickleball Courts at CB Smith Park
Solicitation number
PNC2130653B1
Issued by
Florida

About this file

This is an Anti-Human Trafficking Affidavit form required by Broward County, Florida for vendors responding to the Resurface Pickleball Courts at CB Smith Park solicitation. The form must be completed and returned with the vendor's submittal, or submitted within three business days after the County's request, and is also required upon award, renewal, or extension of any contract with Broward County. The related contract opportunity involves furnishing all labor, materials, equipment, services, and incidentals for repairing and resurfacing two tennis courts (courts 9 & 10) and converting them to six permanent pickleball courts with related equipment and fencing at CB Smith Park. Vendors must submit responses electronically through BPRO (Broward Procurement Online) and receive a submission receipt, with questions and clarifications handled through the BPRO messaging system by specified due dates.

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, and must be signed by an authorized representative with printed name, title, and date. Failure to comply with the affidavit requirements within the stated timeframe may result in the vendor being deemed nonresponsive. The form is dated September 9, 2024, and includes spaces for vendor name, signature, printed name, title, and date of execution. County and state license requirements apply to this solicitation, while Office of Economic and Small Business Development requirements are not applicable.

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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 .