13-AFFIDAVIT OF COMPLIANCE - Denying Doing Business with a Foreign Country of Concern 02.26.2026.docx
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- Solicitation number
- IFB-26-00265
- Issued by
- Hillsborough County, Florida
About this file
This is an Affidavit of Compliance form required by Hillsborough County, Florida for the Northwest Transfer Station Community Collection Center (NWTS CCC) Floor Upgrades project. The affidavit must be submitted with all bids and serves to certify that bidding entities do not have prohibited involvement with foreign countries of concern as defined under Florida Statutes Section 287.138. Bids for this competitive sealed solicitation are due July 31, 2026 at 2:00 p.m. Eastern Time. The project encompasses cast-in-place concrete floor upgrades at the Northwest Transfer Station, with an estimated contract value of $2.24 million plus a $200,000 allowance for Allowance Authorization. The scope includes demolition of existing concrete and asphalt paving, installation of cast-in-place concrete meeting ACI 301 standards with specified compressive strength requirements (6,000 psi at 28 days; 4,500 psi at 3 days), steel reinforcement, construction quality control testing, and related facility upgrades across three construction phases. Substantial Completion is required 150 calendar days from Notice to Proceed with liquidated damages of $1,000 per day, while Final Completion is due 180 days from Notice to Proceed with liquidated damages of $750 per day.
The affidavit requires an authorized company representative to certify under oath that the bidding entity is not owned by, does not have a controlling interest held by, and is not organized under the laws of any designated Foreign Country of Concern, including the People's Republic of China, the Russian Federation, the Islamic Republic of Iran, the Democratic People's Republic of Korea, the Republic of Cuba, the Venezuelan regime of Nicolas Maduro, or the Syrian Arab Republic. Bidders must hold a valid Florida Building Contractor (BC) license and comply with all E-Verify requirements. Additional submission requirements include a 5% Earnest Money Deposit or Bid Bond, the SBE-1 Form documenting 5% Small Business Enterprise subcontractor participation, a Drug-Free Workplace Certification, and a Substitute W-9 Form. Performance and Payment Bonds equal to 100% of the contract amount are required upon award, and all insurance must name Hillsborough County as Additional Insured with 30-day cancellation notice. The contract is governed by Florida law with venue in Hillsborough County, and award is made to the lowest responsive and responsible bidder meeting all specifications.
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Text version
AFFIDAVIT OF COMPLIANCE
DENYING BIDDER’S/OFFEROR’S INVOLVEMENT WITH A FOREIGN COUNTRY OF CONCERN
(Pursuant to Florida Statutes 287.138)
*** THIS AFFIDAVIT MUST BE SUBMITTED WITH BIDDER’S BID/OFFER
(Per Florida Statutes, Section 287.138(4)(a), beginning January 1, 2024, Hillsborough County cannot accept a bid on, a proposal for, or reply to, or enter into a contract with a company/entity which would grant such company/entity access to an individual’s personal identifying information unless the company/entity provides the County with an Affidavit denying the company’s/entity’s involvement with a Foreign Country of Concern.)
______________________________________, being duly sworn deposes and states as follows under penalties of perjury:
(Name of person signing Affidavit)
1. My name is __________________________________________________ (Full Name)
2. I am the ____________________________ of ______________________________________________________ (Job Title – Officer/Authorized Representative) (Company Name)
3. The Company was formed in __________________________________________and is a ____________________ (Country and State) (Type of Entity (e.g., Inc., LLC, etc.)
4. I affirm that I am duly authorized and empowered and have sufficient knowledge to execute and deliver this Affidavit on behalf of the Company stated above.
5. I affirm that I have duly read and understand Florida Statutes Section 287.138 in its entirety and affirm as follows:
** For the purposes of this Affidavit a “Foreign Country of Concern” shall mean the People’s Republic of China, the Russian Federation, the Islamic Republic of Iran, the Democratic People’s Republic of Korea, the Republic of Cuba, the Venezuelan regime of Nicolas Maduro, or the Syrian Arab Republic, including any agency of or any other entity of significant control of such foreign country. “Controlling interest” shall have the meaning set forth in Florida Statutes Section 287.138(1)(a).
(a) The Company is not owned by the government of a Foreign Country of Concern;
(b) The government of a Foreign Country of Concern has no controlling interest in the Company; and
(c) The Company is not organized under the laws of or does not have its principal place of business in a Foreign Country of Concern.
Under penalties of perjury, I declare that I have read this Affidavit and that the facts stated herein are true:
| __________________________________________ | ||||
| (Signature of Affiant) | ||||
| STATE OF | ) | |||
| COUNTY OF | ) | |||
| The foregoing instrument was acknowledged before me by means of physical presence | ||||
| or online notarization this _____ day of | , 20 | , by_________________________________________. |
(Name of Affiant)
(Signature of Notary Public)
(Print, Type, or Stamp Name of Notary Public) Personally Known OR Produced Identification Type of Identification Produced: ___________________________
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