2-Attachment C-Human Trafficking.pdf
PDF 333 KB Posted
- Attached to
- COMPACT UTILITY TRACTOR
- Solicitation number
- PROJ-26-072
- Issued by
- Florida
About this file
This is a Human Trafficking Attestation document required by Halifax Health, a Florida governmental entity, for any nongovernmental entity executing, renewing, or extending a contract with the organization. The attestation pertains to a Compact Utility Tractor procurement, wherein Halifax Health is seeking qualified vendors to provide a replacement compact utility tractor for Facility Operations. The requested equipment includes a factory-installed loader, single point hydraulic coupler and bucket, specified tires, applicable warranties, and delivery to the main campus in Florida.
The attestation form requires an authorized representative or officer of the nongovernmental entity to attest, under penalty of perjury, that the entity does not use coercion for labor or services as defined in Florida Statutes Section 787.06. Vendors executing this contract must acknowledge that any false attestation will result in immediate notification to Halifax Health, precluding the vendor from entering into any future contracts with Halifax Health and preventing renewal or extension of existing contracts. The form requires the nongovernmental entity name, authorized signature, printed name, and title of the signatory, with the attestation 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 .