3-Attachment C-Human Trafficking.pdf
PDF 333 KB Posted
- Attached to
- REVERSE OSMOSIS SYSTEM REPLACEMENT FOR TLSC SPD
- Solicitation number
- PROJ-25-163
- Issued by
- Volusia County, Florida
About this file
This document is a Human Trafficking Attestation form issued by Halifax Health, requiring completion by nongovernmental entities executing, renewing, or extending contracts with the organization. The attestation is specifically aligned with Florida Statutes Section 787.06(13) and requires an authorized representative to certify that their organization does not use coercion for labor or services as defined in the referenced statute.
The form mandates that the nongovernmental entity affirm under penalty of perjury that they do not engage in coercive labor practices. By signing, the representative acknowledges that if the attestation is found to be untrue at any point, the entity will immediately notify Halifax Health, will not enter into future contracts, and will not renew or extend existing contracts. The document is dated July 2024 and serves as Attachment C in what appears to be a larger contractual package, providing a legal safeguard for Halifax Health against potential human trafficking violations.
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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 .