Affidavit_of_Compliance_with_Section_287.138.pdf
PDF 1 MB Posted
- Solicitation number
- IFB26-8
- Issued by
- Orange County, Florida
About this file
This is an Affidavit of Compliance with Section 287.138, Florida Statutes, required for vendors conducting business with the State of Florida on the Hungerford Elementary School Sidewalk Gaps Safe Routes to School project. The affidavit serves as a certification document that vendors must execute to demonstrate compliance with Florida's foreign ownership restrictions and to prevent the City from entering contracts with foreign entities that would provide access to personal identifying information. The document requires the vendor's authorized representative to swear under oath that the company is not owned by, does not have a controlling interest from, and is not organized under the laws of or principally located in a foreign country of concern, defined as 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.
The affidavit must be completed with the vendor's company name, authorized signature, printed name, and title, and subsequently notarized before a notary public. The notarization requires certification of the affiant's identity through either physical presence, digital notarization, or online notarization, with the notary public affixing their official stamp or seal and providing their signature, printed name, and commission expiration date. This document is a mandatory compliance requirement for all vendors bidding on or entering into contracts with Florida municipalities and agencies related to this sidewalk and pedestrian crossing improvement project.
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Text version
AFFIDAVIT OF COMPLIANCE WITH SECTION 287.138,
FLORIDA STATUTES
Before me, the undersigned authority, personally appeared ______________________, whom after being duly sworn, deposes and states: (Print Affiant Name)
1. Affiant is the (Title) __________________________________ of (Business Name) ____________________________________________, which does business in the State of Florida, hereinafter called the “Vendor”.
2. The Vendor, pursuant to Section 287.138, Florida Statutes, certifies that:
i. It is not owned by the government of a foreign country of concern;
ii. The government of a foreign country of concern does not have a controlling interest in the entity, as defined by Section 287.138(1)(a), Florida Statutes;
iii. The entity is not organized under the laws of or has its principal place of business in a foreign country of concern.
iv. For the purposes of this affidavit, foreign country of concern means 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 of concern, as defined in Section 287.138(1)(c), Florida Statues.
3. The Vendor in accordance with Section 287.138, Florida Statutes, executes this affidavit for the purposes of preventing the City from entering contracts with foreign entities of concern which would provide the entity access to an individual’s personal identifying information.
[SIGNATURE PAGE TO FOLLOW]
Further Affiant sayeth naught.
Company: _____________________________________________________________
Authorized Signature: ________________________ Date: ______________
Printed Name: ____________________________ Title: ______________
STATE OF __________________
COUNTY OF ________________
The foregoing instrument was acknowledged before me by means of ___ physical presence,___ digital notarization, or ___ on-line notarization this ______ day of _______________, 20______, by _________________________________, as _________________________ on behalf of the company/corporation. They ___ are personally known to me or ___ have produced____________________ as identification.
(Affix Notary Stamp or Seal)
Notary Public Signature
Print, Type or Stamp Name of Notary
My commission expires: __________________
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File details come from the government source that posted it. Updated .