2-Attachment C-Human Trafficking.pdf
PDF 333 KB Posted
- Attached to
- DIGITAL BUILDING SIGN
- Solicitation number
- PROJ-26-011
- Issued by
- Volusia County, Florida
About this file
This is a Human Trafficking Attestation form required by Halifax Health for all nongovernmental entities executing, renewing, or extending contracts with the organization. The attestation pertains to Halifax Health's compliance with Florida Statutes Section 787.06(13) and must be completed and signed by an authorized representative or officer of the contracting entity. The form requires the nongovernmental entity to attest, under penalty of perjury, that it does not use coercion for labor or services as defined in Florida Statutes Section 787.06. The attestation applies to the Digital Building Sign project, which involves the retrofit and installation of an LED display for existing directional signage at Williamson Avenue in Florida.
The attestation carries significant contractual implications, as any false statements made in the document will result in the entity's obligation to immediately notify Halifax Health and prohibits the entity from entering into any future contracts or renewing or extending existing contracts with Halifax Health. No pricing, set-asides, or funding information is addressed in this attestation document, as it serves solely as a compliance and eligibility verification mechanism rather than a substantive contract terms document.
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Text version
Human Trafficking Attestation
Pursuant to Florida Statutes Section 787.06(13), this attestation must be completed by an officer or representative of any nongovernmental entity that is executing, renewing, or extending a contract with Halifax Health.
The undersigned, as an authorized representative or officer of, and on behalf of, the “Nongovernmental Entity,” by executing below, attests, under penalty of perjury, to the following:
The Nongovernmental Entity does not use coercion for labor or services as such italicized terms are defined in Florida Statutes Section 787.06, as the same may be amended from time to time.
The undersigned understands that the statements made herein are made for the benefit of Halifax Health, and its compliance with Florida Statutes Section 787.06, and if at any time the attestation made herein is untrue, the Nongovernmental Entity will immediately notify Halifax Health of same and will not, thereafter, enter into any future contracts with Halifax Health, and will not renew or extend any existing contracts.
Nongovernmental Entity Name:__________________________________________________________
Signature: ____________________________________________________________________
Printed Name: ________________________________________________________________________
Title: _______________________________________________________________________
s. 787.06, FS July 2024
Attachment C
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File details come from the government source that posted it. Updated .