3-Attachment C-Human Trafficking.pdf

PDF 333 KB Posted

Attached to
Water Heater for SEVCC
Solicitation number
PROJ-25-149
Issued by
Volusia County, Florida

About this file

This document is a Human Trafficking Attestation form from Halifax Health, required pursuant to Florida Statutes Section 787.06(13). The form must be completed by an authorized officer or representative of any nongovernmental entity when executing, renewing, or extending a contract with Halifax Health. By signing, the representative attests that their organization does not use coercion for labor or services as defined in the referenced statute.

The attestation includes a critical compliance commitment, wherein the nongovernmental entity agrees to immediately notify Halifax Health if the attestation becomes untrue, and further agrees to refrain from entering into future contracts or renewing existing contracts with Halifax Health under such circumstances. The document is dated July 2024 and serves as Attachment C to what appears to be a larger contract or procurement document, providing a legal safeguard against potential human trafficking violations in contractual relationships.

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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 .