3-Anti-Human Trafficking Affidavit
40 KB Posted
- Attached to
- FEMA Electrical Maintenance and Repair Services
- Solicitation number
- OPN2131632B1
- Issued by
- Broward County, Florida
About this file
This is an Anti-Human Trafficking Affidavit form required by Broward County, Florida for vendors participating in county procurement activities. The affidavit certifies that the vendor does not use coercion for labor or services as defined in Section 787.06, Florida Statutes. Vendors must submit the completed and signed form with their initial submittal or within three business days of the county's request. The form must also be submitted upon contract award, renewal, or extension. Failure to comply with the submission requirement and timeframe may result in the vendor being deemed nonresponsive. The affidavit requires the vendor to provide their company name, authorized signatory's signature and printed name, title, and the date of execution.
This affidavit applies to the FEMA Electrical Maintenance and Repair Services contract opportunity with Broward County, an open-end contract for electrical maintenance and repair services supporting Water and Wastewater Services and other county agencies. Vendors must be licensed at the county or state level and comply with County Business Enterprise participation goals established by the Office of Economic and Small Business Development. All solicitation responses must be submitted electronically through BPRO by the specified closing date and time, with vendors receiving a submission receipt to confirm receipt. Vendors are required to review the full solicitation for complete requirements and may submit questions through BPRO by the designated questions due date.
Text of this file
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
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