4-AFFIDAVIT OF COMPLIANCE - Denying Doing Business with a Foreign Country of Concern 09.docx
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- Solicitation number
- ITB-26-00040
- Issued by
- Hillsborough County, Florida
About this file
This document is an Affidavit of Compliance for Hillsborough County, Florida, specifically related to denying business involvement with foreign countries of concern as defined by Florida Statutes 287.138. The affidavit is a mandatory submission requirement for bidders participating in county procurement, effective January 1, 2024, and is specifically associated with a solicitation for multiple Ford sport utility vehicles (SUVs) and light medium trucks for various county departments. The estimated project budget is $1,580,000.00, and the procurement is being managed by the Hillsborough County Fleet Management Department.
The affidavit requires bidders to certify that they are not owned by, do not have a controlling interest from, and are not principally based in countries deemed as "Foreign Countries of Concern" - which include China, Russia, Iran, North Korea, Cuba, Venezuela, and Syria. By signing this document, company representatives affirm their compliance with these statutory requirements under penalty of perjury, which is to be notarized. The document is part of a comprehensive procurement process that aims to ensure vendors meet specific geopolitical and regulatory standards before being considered for county contract awards.
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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.
(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: ___________________________
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