2-Attachment C-Human Trafficking.pdf
PDF 333 KB Posted
- Attached to
- Medical Center of Deltona Artwork
- Solicitation number
- PROJ-26-029
- Issued by
- Volusia County, Florida
About this file
This is a Human Trafficking Attestation form required by Halifax Health for any nongovernmental entity executing, renewing, or extending a contract with the organization. The attestation is mandated pursuant to Florida Statutes Section 787.06(13) and must be completed 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 includes spaces for the nongovernmental entity name, authorized representative signature, printed name, and title.
The attestation serves as Halifax Health's compliance mechanism with Florida state law regarding human trafficking prevention in contracting. Any vendor representing that the attestation is untrue at any point must immediately notify Halifax Health and agrees not to enter into any future contracts with the organization or renew or extend existing contracts. This requirement applies to all nongovernmental entities engaged with Halifax Health through contract relationships, including vendors responding to the Medical Center of Deltona artwork solicitation.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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
| Text1: |
| Text2: |
| Text3: |
File details come from the government source that posted it. Updated .