4-Anti-Human Trafficking Affidavit.docx

DOCX document 40 KB Posted

Attached to
Pool Resurfacing TY Park
Solicitation number
PNC2132322C1
Issued by
Broward County, Florida

About this file

This is an Anti-Human Trafficking Affidavit required by Broward County, Florida for the Pool Resurfacing TY Park contract opportunity. The affidavit must be completed and submitted with the vendor's proposal or within three business days of the County's request. The form certifies that the vendor does not use coercion for labor or services as defined in Section 787.06, Florida Statutes. Vendors who fail to submit the completed affidavit within the specified timeframe may be deemed nonresponsive and ineligible for contract award. The affidavit requires the vendor to provide their company name, authorized representative's signature, printed name, title, and date of execution under penalties of perjury.

The contract opportunity involves pool resurfacing services for Topeekeegee Yugnee (T.Y.) Park's Castaway Island Water Park located at 3300 N Park Rd, Hollywood, Florida. This is a fixed-price contract with the Parks and Recreation Division. Vendors must possess required county and state licenses and obtain bonding as specified in the solicitation. All responses must be submitted electronically through BPRO by the closing deadline, with vendors responsible for ensuring timely receipt and obtaining a submission receipt. Vendors are directed to the Purchasing Division website or support@gobonfire.com for submission instructions and technical assistance.

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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 .