8-Attachment C-Human Trafficking.pdf
PDF 333 KB Posted
- Attached to
- Kitchen Cart Wash and Plumbing Modifications
- Solicitation number
- PROJ-26-070
- Issued by
- Volusia County, Florida
About this file
This is a Human Trafficking Attestation document required by Halifax Health, a Florida-based healthcare organization, for any nongovernmental entity executing, renewing, or extending a contract with the agency. The attestation pertains to the Kitchen Cart Wash and Plumbing Modifications project, which involves qualified contractors replacing and reconfiguring the cart wash and modifying plumbing in the surrounding area of Halifax Health's Main Campus Kitchen. All nongovernmental entities must complete and submit the attestation form with the signature and printed name of an authorized representative or officer, along with their title, prior to contract execution.
The attestation requires the contracting 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 entity must further acknowledge that any false attestation obligates immediate notification to Halifax Health and bars the entity from entering into any future contracts with Halifax Health or renewing or extending any existing contracts. This compliance requirement reflects Halifax Health's commitment to anti-trafficking standards mandated under Florida law.
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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 .