6-Attachment C-Human Trafficking.pdf

This is a Human Trafficking Attestation form required by Halifax Health, a government entity in Florida, for any nongovernmental entity executing, renewing, or extending a contract 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 the contractor. The form applies to the contract opportunity for PO ROC RTU #3 Replacement, which involves replacing one rooftop unit (RTU) at Halifax Health's Port Orange Cancer Center. No specific response dates, due dates, site visit requirements, bidders' meetings, or award dates are detailed in this attestation document, as it serves as a compliance requirement rather than a primary solicitation document.

The attestation requires the nongovernmental entity to confirm under penalty of perjury that it does not use coercion for labor or services as defined in Florida Statutes Section 787.06. The signing party must provide the entity's name, signature, printed name, and title. The contractor acknowledges that any false attestation will result in immediate notification to Halifax Health and prohibition from entering into any future contracts or renewing or extending existing contracts with Halifax Health. No pricing terms, set-asides, incumbent information, or funding details are included in this attestation document, which functions as a mandatory compliance requirement rather than containing substantive contractual or procurement terms.