3-Form - Foreign Entity Ownership.pdf
PDF 102 KB Posted
- Solicitation number
- 2027003
- Issued by
- Indian River County, Florida
About this file
This is a Foreign Entity Ownership Affidavit required by the State of Florida for the RFQ for 82nd Avenue Utility Corridor Consulting Services (Project Development Phase). The affidavit must be submitted with every bid or offer, or contract that provides an entity access to personal identifying information.
The affidavit requires the bidding entity to attest under penalty of perjury to eight compliance statements regarding foreign ownership and control. These statements certify that the entity is not owned by or does not have a controlling interest held by a foreign country of concern as defined under Florida Statutes Sections 287.138 and 692.201; is not organized under or does not have its principal place of business in a foreign country of concern; is not a foreign principal; and is in compliance with all applicable requirements of Sections 692.202, 692.203, and 692.204. For contracts involving real property purchases, the affidavit includes an additional requirement confirming the entity is not a foreign principal prohibited from purchasing the subject property, or is otherwise authorized to do so. The signatory must confirm authorization to execute the affidavit on behalf of the entity, with the document requiring the printed name, title, entity name, and date of the authorized representative.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 9-Attachment A.pdf | ||
| 11-SOQs Received.docx | DOCX document | |
| 4-Form - Lobbying.pdf | ||
| 2-Form - Scrutinized.pdf | ||
| 8-Sample Professional Services Agreement.docx | DOCX document | |
| 1-Form - Debarment.pdf | ||
| 7-Form - Disclosure Form.pdf | ||
| 6-Form - Anti-Human Traffic.pdf | ||
| 10-Addendum 1.pdf | ||
| 5-Form - RFP-RFQ Compliance Form.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Foreign Entity Ownership Affidavit (required with every bid or offer, or contract which gives Entity access to an individual’s personal identifying information)
The undersigned, on behalf of the Entity listed below, 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)
9. The undersigned is authorized to execute this affidavit on behalf of Entity.
Signature
Printed Name
Title
Entity
Date:
| Name: |
| Title: |
| Entity: |
| Date: |
File details come from the government source that posted it. Updated .