2-Attachment C-Human Trafficking.pdf

This is a Human Trafficking Attestation form required by Halifax Health for nongovernmental entities executing, renewing, or extending contracts with the organization. The attestation is mandated under Florida Statutes Section 787.06(13) and must be completed and signed by an authorized officer or representative of any contracting nongovernmental entity. The form applies to the Valet Services contract opportunity whereby Halifax Health is soliciting qualified valet parking firms to provide complimentary valet parking services for patients and visitors at Halifax Medical Center in Florida. The attestation requires the signing official to confirm under penalty of perjury that the nongovernmental entity does not use coercion for labor or services as defined in Florida Statutes Section 787.06.

By executing the attestation, the nongovernmental entity acknowledges that the statements are made for Halifax Health's compliance purposes and agrees that any false attestation must be immediately disclosed to Halifax Health. Additionally, the entity agrees that discovery of an untrue attestation will result in ineligibility to enter into any future contracts with Halifax Health and will prevent renewal or extension of any existing contracts. The form requires completion of the nongovernmental entity name, authorized signature, printed name of the signatory, and title of the signing official. This attestation serves as a prerequisite compliance document for contract award and ongoing contract performance.