AFFIDAVIT_OF_COMPLIANCE_WITH_FOREIGN_COUNTRIES_OF_CONCERN_(4).pdf

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Attached to
Citywide Sign Language and Interpreter Services
Solicitation number
25-P-00003
Issued by
Hillsborough County, Florida

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Written by GovTribe AI ·

This document is an Affidavit of Compliance with Foreign Countries of Concern, pursuant to Section 287.138 of the Florida Statutes for the 2023 calendar year, specifically related to the City of Tampa's Citywide Sign Language and Interpreter Services contract opportunity. The affidavit requires the entity bidding on the contract to attest that they are not owned by, controlled by, or principally located in a Foreign Country of Concern as defined by Florida law.

The affidavit serves as a legal declaration that the bidding entity meets specific compliance requirements for participating in the City of Tampa's Request for Qualifications (RFQ) for American Sign Language and Oral Interpretation Services. The city intends to pre-qualify a minimum of three respondents to provide services on an as-needed basis to support citizens who are deaf or deaf and blind, in compliance with the Americans with Disabilities Act. The city reserves the right to award the contract based on factors including experience, qualifications, location, and ability to perform.

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AFFIDAVIT OF COMPLIANCE WITH FOREIGN COUNTRIES OF CONCERN

PURSUANT TO SECTION 287.138, FLORIDA STATUTES (2023)

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. The undersigned is authorized to execute this affidavit on behalf of Entity.

5. The undersigned further sayeth naught.

Date: , 20 Signed:

Entity: Name:

Title:

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 , as for , who is personally known to me or who has produced as identification.

ATTACHMENT F

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