5-Form - Foreign Entity Ownership.pdf

PDF 102 KB Posted

Attached to
Emergency Operations Warehouse Addition
Solicitation number
2026009
Issued by
Indian River County, Florida

About this file

This is a Foreign Entity Ownership Affidavit required for a bid submission to Waukesha County Sheriff's Department for the procurement of approximately 200 Vortex Defender-ST Enclosed Solar Micro Red Dot Sights (Bid #2026009). The affidavit must be submitted with the bid response by the March 31, 2026 deadline at 10:30 AM CDT/CST. The tactical optic specifications include a 3 MOA red dot with 32 MOA circle, CR2032 battery with solar charging, unlimited eye relief, 1x magnification, 1.62-ounce weight, and 7075 aluminum construction with waterproof and shockproof capabilities. The complete package includes Picatinny mount, custom tool, rubber cover, mounting screws, battery, lens cloth, Glock MOS adapter plate, and Torx bit. Deliverables are on an F.O.B. destination basis with prepaid transportation. Bidders must be authorized Vortex distributors and provide complete manufacturer warranty documentation. The contract includes an initial period subject to two optional one-year extensions exercisable within sixty days of contract expiration.

Pricing must exclude federal excise tax and Wisconsin sales tax, with bidders required to provide best cash discount information for payments made thirty days after goods receipt and acceptance. Waukesha County prefers P-Card (VISA) payment and requires all processing fees be included in pricing with stated processing timelines. All pricing and conditions must remain firm for ninety calendar days from the bid opening date. Foreign corporations, nonstock corporations, limited partnerships, limited liability companies, cooperative associations, and limited liability partnerships must register with the Wisconsin Department of Financial Institutions within ten business days of award and prior to contract execution. The county reserves the right to require proof of financial stability and experience with similar obligations prior to award, reject any or all bids, award separately or in aggregate, and order within ten percent more or less of bid quantities. The contract is contingent upon Waukesha County Board appropriation of necessary funds. No specific budget or award value is disclosed in the bid documents.

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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:

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