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 by the City of Winter Park, Florida for the Hungerford Elementary School Sidewalk Gaps Safe Routes to School (SRTS) project. The affidavit certifies that bidding vendors are not owned by, do not have a controlling interest from, and are not organized under the laws of or principally located in foreign countries of concern, specifically 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 document must be executed by an authorized representative of the bidding entity and notarized before submission. All bidders are required to complete and submit this affidavit to prevent the City from entering into contracts with foreign entities that would provide access to personal identifying information.
The affidavit serves as a mandatory certification requirement for contract eligibility and must be signed by an authorized company officer with the affiant's printed name and title clearly indicated. Notarization is required and can be completed through physical presence, digital notarization, or online notarization, with the notary public's signature, stamp, and commission expiration date required on the document. Failure to submit a completed and properly notarized affidavit will likely result in bid rejection, as this compliance documentation is essential to meeting the City's procurement requirements for this federally-funded Safe Routes to School 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 .