8-Attachment C-Human Trafficking.pdf
PDF 333 KB Posted
- Attached to
- WVCC AHU REPLACEMENT
- Solicitation number
- PROJ-26-074
- Issued by
- Volusia County, Florida
About this file
This is a Human Trafficking Attestation form required by Halifax Health, a Florida-based healthcare organization, for any nongovernmental entity executing, renewing, or extending a contract with the organization. The attestation pertains to a contract opportunity for the replacement of a 25-ton air handling unit at Halifax Health West Volusia Care Center with a like-for-like system. As an authorized representative or officer of a nongovernmental entity, the signatory must attest under penalty of perjury that the entity does not use coercion for labor or services as defined in Florida Statutes Section 787.06.
The attestation serves as Halifax Health's compliance mechanism with Florida Statutes Section 787.06, which addresses human trafficking and labor coercion. If the attestation is found to be untrue at any point, the nongovernmental entity is obligated to immediately notify Halifax Health and is thereafter prohibited from entering into any future contracts with Halifax Health or renewing or extending any existing contracts. The form requires completion of standard identification fields including the nongovernmental entity name, authorized representative signature, printed name, and title.
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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 .