7-Attachment C-Human Trafficking.pdf
PDF 333 KB Posted
- Attached to
- Ormond ROC Chiller Replacement
- Solicitation number
- PROJ-25-126
- Issued by
- Volusia County, Orlando City, 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 form is specifically designed to comply with Florida Statutes Section 787.06(13) and requires an authorized representative to attest that their organization does not use coercion for labor or services as defined in the referenced statute.
The attestation includes critical legal commitments, wherein the nongovernmental entity affirms it does not engage in coercive labor practices and understands that making a false statement will result in immediate notification to Halifax Health, prohibition from future contracts, and inability to renew existing agreements. The document is structured as a formal legal declaration made under penalty of perjury, with designated spaces for the nongovernmental entity's name, signature, printed name, and title of the authorized representative. The form is dated July 2024 and is marked as Attachment C, indicating it is part of a larger contractual document set.
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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 .