2-Attachment C-Human Trafficking.pdf

This is a Human Trafficking Attestation form required by Halifax Health, a Florida-based government entity, for any nongovernmental entity executing, renewing, or extending a contract with the organization. The attestation form pertains to compliance with Florida Statutes Section 787.06(13) and must be completed and signed by an authorized representative or officer of the contracting nongovernmental 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 contract opportunity for architectural and engineering design services for the minor renovation and interior enhancement of Suites 200 and 205/210 within the Halifax Health 201 Building located in Florida.

The attestation requires the authorized representative to acknowledge that the statements are made for the benefit of Halifax Health's compliance with anti-human trafficking statutes. If the attestation is later found to be untrue, the nongovernmental entity must immediately notify Halifax Health and agrees not to enter into any future contracts with the organization or renew or extend any existing contracts. The form requires completion of the nongovernmental entity name, signature, printed name, and title of the authorized representative. No pricing, set-asides, incumbents, or funding information is contained within this attestation document.