3-Anti-Human Trafficking Affidavit.docx

DOCX document 40 KB Posted

Attached to
FEMA Compliant – Pipe and Valve Maintenance & Installation Services
Solicitation number
OPN2131104B1
Issued by
Broward County, Florida

About this file

This is an Anti-Human Trafficking Affidavit form required by Broward County, Florida for vendors responding to a FEMA Compliant Pipe and Valve Maintenance & Installation Services contract opportunity. The affidavit must be completed and submitted with the vendor's bid proposal, or if not initially provided, within three business days of the County's request. The form certifies under penalty of perjury that the vendor does not use coercion for labor or services as defined in Section 787.06, Florida Statutes. Vendors deemed nonresponsive for failure to comply with the submission requirements within the stated timeframe may be disqualified from consideration. The form requires the vendor to provide their business name, authorized signatory signature, printed name of signatory, title, and date of execution.

This affidavit is a mandatory compliance document as part of Broward County's procurement standards for the open-end contract to supply FEMA-compliant pipe and valve maintenance and installation services to the County's Water and Wastewater Services division and other County agencies. The requirement applies upon initial contract award, renewal, or extension. Vendors must acknowledge their commitment to lawful labor practices and ethical business conduct in accordance with Florida statutory requirements governing human trafficking prevention in public contracting.

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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 .