15-Affidavit of Compliance with Foreign Entity and Human Trafficking.pdf
PDF 625 KB Posted
- Attached to
- Par 3 Restroom Renovation
- Solicitation number
- ITB No. 2026-025
- Issued by
- Palm Beach County, Florida
About this file
This document is an Affidavit of Compliance with Foreign Entity and Human Trafficking Laws issued by the Town of Palm Beach Procurement and Contracts Division, applicable to the Par 3 Restroom Renovation project. The affidavit requires contractors bidding on this $232,000 restroom renovation project at Par 3 Golf Course Old Clubhouse to attest compliance with Florida Statutes regarding foreign entity ownership and control. Construction is scheduled to commence by July 7, 2026, with substantial completion by September 30, 2026, and final completion by October 15, 2026. A mandatory pre-bid meeting and site visit will be held at the facility located at 2345 South Ocean Boulevard, Palm Beach, Florida 33480, with attendance required for bid responsiveness. Interested contractors must possess a General Contractor License, Certified Electrical Contractor certification, and Certified Plumbing Contractor certification to qualify. Bids must be submitted online through the Town's eProcurement platform (Euna Procurement/Bonfire).
The affidavit requires the undersigned entity to certify that it is not owned by or controlled by any foreign country of concern as defined under Florida Statutes Sections 287.138, 692.201, and related sections, and that the entity complies with all applicable foreign entity requirements. Additionally, entities must attest under penalty of perjury that they do not engage in human trafficking or coercion for labor or services as defined in Florida Statute Section 787.06. The affidavit must be executed by an authorized representative of the bidding entity and notarized by a Florida notary public. Award will be made to the lowest responsive and responsible bidder meeting all stated requirements, with the Town reserving the right to reject any or all bids and award based on the bidder who best serves the Town's interests.
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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:
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