13-Affidavit of Compliance with Foreign Entity and Human Trafficking.pdf
PDF 625 KB Posted
- Attached to
- RFQ No. 2026-013 Owner's Representative Services for Mid-Town Construction Projects State and local contract opportunity
- Solicitation number
- 2026-013
- Issued by
- Palm Beach County, Florida
About this file
This is an Affidavit of Compliance document issued by the Town of Palm Beach Procurement and Contracts Division pertaining to foreign entity and human trafficking compliance requirements for the RFQ No. 2026-013 Owner's Representative Services for Mid-Town Construction Projects. The affidavit requires bidders to attest under penalty of perjury to compliance with Florida Statutes regarding foreign entity ownership and control, specifically certifying that the entity is not owned or controlled by a foreign country of concern as defined in Sections 287.138, 288.007, and 692.201-692.204 of the Florida Statutes. Additionally, bidders must attest that they do not use coercion for labor or services as defined in Section 787.06, Florida Statutes, which addresses human trafficking violations.
The affidavit must be executed by an authorized representative of the bidding entity and notarized before a Florida notary public, with the notarization occurring either through physical presence or online notarization. The document requires the affiant to be an adult resident of the State of Florida and includes provisions for real property transactions where applicable. Execution of the affidavit constitutes a sworn statement subject to penalties of perjury, including fines and imprisonment for knowingly false statements. This compliance documentation is a mandatory requirement for all entities bidding on Town of Palm Beach procurements and must be submitted as part of the proposal package.
View the file
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| File | Type | Posted |
|---|---|---|
| 10-Bidder’s Qualification Form - Rev001.pdf | ||
| 1-E-Verify.pdf | ||
| 4-Evaluation and Selection Committee Evaluation Overview.pdf | ||
| 15-Pre Proposal Conference Via Teams.pdf | ||
| 20-RFQ - Contractor -Instructions to Suppliers and General Conditions.pdf | ||
| 8-Town of Palm Beach Insurance Requirements for Consultants.pdf | ||
| 6-TOPB Drug Free Workplace Form.pdf | ||
| 17-Background and scope of work.pdf | ||
| 11-Protest Procedure Form.pdf | ||
| 18-Evaluation Factors.pdf | ||
| 9-Truth-in-Negotiations.pdf | ||
| 12-Vendors Conflict of Interest Form.pdf | ||
| 5-Scrutinized Companies Form.pdf | ||
| 16-2. 2023 GHD Mid-TownSeawallReplacement - Drawings.pdf | ||
| 2-Contractor Info Form.pdf | ||
| 7-Subcontractors Form.pdf | ||
| 3-Reference Form.pdf | ||
| 19-Midtown Projects Map.pdf | ||
| 14-FS 119.0701 and FS 119.071 for Public Records 2024 version.pdf |
Show all 19
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Text version
Town of Palm Beach Procurement and Contracts Division
Foreign En�ty [Rev. 7/21/2023] and Human Trafficking [Rev. 10/25/2024]
Affidavit of Compliance with Foreign Entity Laws
The undersigned, on behalf of the entity listed below (“Entity”), hereby attests under penalty of perjury as follows:
1. Entity is not owned by the government of a foreign country of concern as defined in Section 287.138, Florida Statutes. (Source: § 287.138(2)(a), Florida Statutes)
2. The government of a foreign country of concern does not have a controlling interest in Entity. (Source: § 287.138(2)(b), Florida Statutes)
3. Entity is not organized under the laws of, and does not have a principal place of business in, a foreign country of concern. (Source: § 287.138(2)(c), Florida Statutes)
4. Entity is not owned or controlled by the government of a foreign country of concern, as defined in Section 692.201, Florida Statutes. (Source: § 288.007(2), Florida Statutes)
5. Entity is not a partnership, association, corporation, organization, or other combination of persons organized under the laws of or having its principal place of business in a foreign country of concern, as defined in Section 692.201, Florida Statutes, or a subsidiary of such entity. (Source:
§ 288.007(2), Florida Statutes)
6. Entity is not a foreign principal, as defined in Section 692.201, Florida Statutes. (Source:
§ 692.202(5)(a)(1), Florida Statutes)
7. Entity is in compliance with all applicable requirements of Sections 692.202, 692.203, and 692.204, Florida Statutes.
8. (Only applicable if purchasing real property) Entity is not a foreign principal prohibited from purchasing the subject real property. Entity is either (a) not a person or entity described in Section 692.204(1)(a), Florida Statutes, or (b) authorized under Section 692.204(2), Florida Statutes, to purchase the subject property. Entity is in compliance with the requirements of Section 692.204, Florida Statutes. (Source: §§ 692.203(6)(a), 692.204(6)(a), Florida Statutes)
Affidavit of Compliance with Anti-Human Trafficking Laws
In accordance with section 787.06(13), Florida Statutes, the undersigned, on behalf of the entity listed below (“Entity”), hereby attests under penalty of perjury that:
1. The Affiant is an adult resident of the State of Florida.
2. The Entity does not use coercion for labor or services as defined in Section 787.06, Florida Statutes, entitled “Human Trafficking”.
3. I understand that I am swearing or affirming under oath to the truthfulness of the claims made in this affidavit and that the punishment for knowingly making a false statement includes fines and/or imprisonment.
Town of Palm Beach Procurement and Contracts Division
Foreign En�ty [Rev. 7/21/2023] and Human Trafficking [Rev. 10/25/2024]
The undersigned is authorized to execute this affidavit on behalf of Entity.
Date: ____________________, 20___ Signed:
Entity: Name:
Title:
STATE OF
COUNTY OF
The foregoing instrument was acknowledged before me, by means of ☐ physical presence or ☐ online notarization, this ____ day of ______________, 20____, by _______________________________, as ____________________________ for _____________________________________________________, who is personally known to me or who has produced ________________________ as identification.
Notary Public Signature: State of Florida at Large (Seal) Print Name: My commission expires:
File details come from the government source that posted it. Updated .