26-403_Attachment2AffidavitForm26-403.pdf
PDF 166 KB Posted
- Attached to
- Pinellas County Schools Instructional Services State and local contract opportunity
- Solicitation number
- 25-JB-083
- Issued by
- Pinellas County, Florida
About this file
This is an Affidavit of Compliance form required by the Pinellas County School District for the Instructional Services procurement. Bidders must complete and submit this affidavit as part of their sealed electronic bid response, which is due no later than 2:00 pm Eastern Time on Monday, February 16, 2026, through the District's e-Procurement Portal at https://procurement.opengov.com/portal/PCSB. The affidavit certifies the bidder's compliance with three Florida statutes: Section 287.138 (restrictions on foreign ownership and controlling interests), Section 288.0071 (prohibitions on providing economic incentives to foreign entities), and Section 787.06 (human trafficking prohibitions). The affiant must be an authorized representative of the bidding organization with sufficient knowledge to execute the affidavit under penalties of perjury.
The affidavit must be notarized and signed by the authorized representative. The form requires the affiant to affirm that the business is not owned or controlled by a foreign country of concern, is not a foreign entity as defined by Florida law, does not have its principal place of business in a foreign country of concern, and does not use coercion for labor or services. The document must be sworn to before a notary public and includes spaces for the notary's signature, seal, date, and identification of the method of notarization (physical presence or online). This compliance affidavit is a mandatory submission requirement for all bidders responding to the Pinellas County Schools procurement solicitation.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| Protest_Procedures.pdf | ||
| 26-403_Attachment2AffidavitForm26-403.pdf | ||
| Protest_Procedures.pdf | ||
| 26-403_Attachment1SubmittalForm26-403.docx | DOCX document | |
| 26-403_Attachment1SubmittalForm26-403.docx | DOCX document |
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Text version
AFFIDAVIT OF COMPLIANCE WITH §§ 287.138, 288.0071, AND 787.06, FLA. STAT.
CONTRACTING WITH AND PROVIDING ECONOMIC INCENTIVES TO FOREIGN ENTITIES
OF CONCERN, AND COMPLIANCE WITH ANTI-HUMAN TRAFFICKING LAWS
Before me, the undersigned authority, personally appeared (Name of affiant) , who, after being first duly sworn, deposes and says of his or her personal knowledge the following:
1. Affiant is the (Title) ______________________ of
(Business Name) which is authorized to conduct business in the State of Florida, hereinafter called the “Business.”
2. Prohibition on Providing Personal Identifying Information to Foreign Entities of Concern: I affirm that Business is not owned by a foreign country of concern, a does a foreign country of concern does not have a controlling interest in
Business, and that Business is not organized under the laws of nor does it have its principal place of business in a foreign country of concern, as defined in Section 287.138, Florida Statutes.
3. Prohibition on Providing Economic Incentives to Foreign Entities of Concern: I affirm that Business is not a foreign entity, as defined in Section 288.0071, Florida Statutes.
4. Compliance with Human Trafficking Laws: I affirm that Business does not use coercion for labor or services as defined in Section 787.06, Florida Statutes, entitled “Human Trafficking.”
5. Under penalties of perjury, I declare that I am duly authorized and empowered and have sufficient knowledge to execute and deliver this Affidavit and that I have read the foregoing Affidavit and the facts stated in it are true.
Signed and Delivered on the day of __________________ , 202___.
BY:
Signature of Affiant
Printed Name
STATE OF _______________
COUNTY OF _____________
Sworn to (or affirmed) and subscribed before me by means of ☐ physical presence or ☐ online notarization, this _____ day of
______________________, 20____, by ______________________________, who is ☐ personally known to me or ☐ has produced identification (type):______________________________.
(Notary Signature)
(SEAL)
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