8-Attachment C-Human Trafficking.pdf
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- Attached to
- Parking Garage Doors
- Solicitation number
- PROJ-26-008
- 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 is an official attestation that must be completed by an authorized officer or representative of any nongovernmental entity executing, renewing, or extending a contract with Halifax Health. The form requires the entity to certify that they do not use coercion for labor or services as defined in the referenced Florida statute.
The attestation includes critical compliance commitments, specifically that the nongovernmental entity affirms it does not engage in coercive labor practices. By executing the document, the entity acknowledges that if the attestation is found to be untrue at any point, they will immediately notify Halifax Health, will not enter into future contracts, and will not renew or extend existing contracts. The form is dated July 2024 and is labeled as Attachment C, providing a standardized mechanism for contractors to confirm their commitment to preventing human trafficking.
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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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