EXHIBIT_“H”_Affidavit_of_Compliance_with_Anti-Human_Trafficking_Laws.pdf
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- Solicitation number
- 26-003
- Issued by
- Broward County, Florida
About this file
This is an Affidavit of Compliance with Anti-Human Trafficking Laws required by the State of Florida in accordance with Section 787.06(13), Florida Statutes. The document serves as a certification form that entities bidding on state and local contracts must complete and notarize to attest that they do not use coercion for labor or services as defined under Florida's Human Trafficking statute. The affidavit requires the authorized representative of the bidding entity to execute the document under penalty of perjury, providing the entity name, the signatory's title and name, and the execution date. A Florida notary public must acknowledge the affidavit through either physical presence or online notarization, verify the signatory's identity, and administer an oath if required.
This exhibit is a mandatory compliance document with no associated pricing, set-asides, incumbents, or funding requirements. The affidavit functions as a prerequisite certification for contract eligibility rather than a substantive procurement document. Entities must complete and notarize the form prior to bid submission to demonstrate compliance with Florida's anti-human trafficking laws and establish their eligibility to participate in state and local contracting opportunities within Florida's jurisdiction.
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Text version
EXHIBIT “H”
AFFIDAVIT OF COMPLIANCE WITH ANTI-HUMAN TRAFFICKING LAWS
In accordance with Section 787.06 (13), Florida Statutes, the undersigned, on behalf of the entity listed below (“Entity”), hereby attests under penalty of perjury that:
1. Entity does not use coercion for labor or services as defined in Section 787.06, Florida Statutes, entitled “Human Trafficking”.
The undersigned is authorized to execute this affidavit on behalf of Entity.
Date: ____________________, 20___ Signed:
Entity: Name:
Title:
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me by means of ☐ physical presence or by ☐ online notarization on __________________________________ 20____, by ________________________________ as ___________ of __________________________, on behalf of the company. He/she is personally known to me or produced __________________________________ as identification and did (did not) take an oath.
NOTARY PUBLIC
My Commission Expires: State of Florida
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