2-Attachment C-Human Trafficking.pdf
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- Attached to
- NETAPP Storage Hardware
- Solicitation number
- PROJ-26-024
- Issued by
- Volusia County, Florida
About this file
This is a Human Trafficking Attestation form required by Halifax Health, a Florida government entity, for any nongovernmental entity executing, renewing, or extending a contract with the organization. The attestation must be completed and signed by an authorized officer or representative of the vendor 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 document serves as Halifax Health's compliance mechanism with Florida's human trafficking statutes and must be submitted as part of contract execution or renewal processes.
The nongovernmental entity must acknowledge that the attestation is made for Halifax Health's benefit and compliance purposes, and that any false statements made in the attestation must be immediately reported to Halifax Health. Should the attestation prove untrue at any time, the vendor entity agrees not to enter into future contracts with Halifax Health and not to renew or extend any existing contracts with the organization. The form requires completion of fields for the nongovernmental entity name, signature, printed name, and title of the authorized representative, with the document dated July 2024.
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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 .