13-AFFIDAVIT OF COMPLIANCE - Denying Doing Business with a Foreign Country of Concern 02.26.2026.docx
DOCX document 17 KB Posted
- Attached to
- Southshore Sportsplex - Phase 2
- Solicitation number
- IFB-26-00279
- Issued by
- Hillsborough County, Florida
About this file
This is an Affidavit of Compliance form required by Hillsborough County, Florida, for bidders and offerors on the Southshore Sportsplex Phase 2 construction project. The affidavit must be submitted with all bids or proposals and certifies that the bidding company does not have involvement with designated foreign countries of concern, as mandated by Florida Statutes Section 287.138(4)(a), effective January 1, 2024. The affidavit applies to any company seeking access to personal identifying information through county contracts. Bidders must affirm that their company is not owned by the government of a foreign country of concern, that no such government maintains a controlling interest in the company, and that the company is neither organized under the laws of nor maintains its principal place of business in a foreign country of concern. Foreign countries of concern are specifically defined as 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 agencies or entities under significant control of these nations.
The affidavit requires execution and notarization by an authorized officer or representative of the bidding entity, who must certify personal knowledge of the company's status and compliance with the statutory requirements. The document includes standard notarization provisions requiring either physical presence or online notarization and identification verification. This compliance documentation is a prerequisite for participation in the Southshore Sportsplex Phase 2 project, a construction contract estimated at $12,650,011.00 for base bid items with additional alternate bid items valued at $2,769,574.00, which includes an 8% Subcontractor Business Enterprise participation goal.
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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: ___________________________
File details come from the government source that posted it. Updated .