ATTACHMENT_E_-_Camera_System_AFFIDAVIT.docx

DOCX document 34 KB Posted

Attached to
Intersection Automated Enforcement Safety System
Solicitation number
Y24-1099
Issued by
Orange County, Orlando City, Florida

About this file

The document is a Camera System Affidavit for Orange County, Florida, related to an Intersection Automated Enforcement Safety System procurement (Y24-1099). The solicitation is seeking sealed electronic responses through the OpenGov e-Procurement Platform, with submissions due by 4:00 pm EST on Tuesday, January 28, 2025. Respondents are strictly prohibited from hand-delivering, mailing, faxing, telephoning, or emailing offers, and any submissions outside the designated electronic platform will be automatically rejected.

The affidavit includes critical compliance requirements, specifically mandating that the responding company is not owned by a foreign country of concern and does not have a controlling interest from such a country, as defined under Florida Statute 287.138(1). The document requires a signed declaration under penalties of perjury, with the signatory affirming the truthfulness of the statements and acknowledging potential criminal penalties for false statements. This affidavit appears to be a preliminary qualification document for potential vendors interested in providing an automated intersection safety camera system for Orange County.

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Text version

CAMERA SYSTEM AFFIDAVIT

1. I am over the age of 18 and I have personal knowledge of the matters set forth except as otherwise set forth herein.

2. I currently serve as ______________________________ (Role) of ____________________________ (“Company”).

3. Company is not owned by a foreign country of concern as that term is defined in Section 287.138(1), Florida Statutes.

4. A foreign country of concern does not have a controlling interest (as those terms are defined in Section 287.138(1), Florida Statutes) in Company.

5. This declaration is made pursuant to Florida Statute 92.525. I understand that making a false statement in this declaration may subject me to criminal penalties.

Under penalties of perjury, I ____________________________________________________(Signatory Name and Title), declare that I have read the foregoing Camera System Affidavit and that the facts stated in it are true.

Further Affiant sayeth naught.

COMPANY

NAME OF BUSINESS ENTITY

SIGNATURE

TYPE NAME AND TITLE

Procurement Division (Version 1)

File details come from the government source that posted it. Updated .