Attachment_G._Use_of_Companies_owned_or_Controlled_by_a_Foreign_Country_of_Concern_Affidavit_for_Nongovernmental_Entities.pdf
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- Solicitation number
- 26-0038
- Issued by
- Sarasota County, Florida
About this file
This is an affidavit form required by the School Board of Sarasota County, Florida for Plumbing Services - Time and Materials - Bid #26-0038. The affidavit mandates that all nongovernmental entities executing, renewing, or extending contracts with the School Board must certify under penalty of perjury their compliance with Florida Statutes Section 287.138, which prohibits governmental entities from contracting with companies owned or controlled by foreign countries of concern. The countries of concern identified in the statute are 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, and the Syrian Arab Republic. Respondents must affirm that their company is not owned by any such foreign government, does not have controlling interest by such governments, and is not organized under the laws of or principally based in a foreign country of concern.
The affidavit requires completion by the vendor's authorized representative, including the respondent vendor name, FEIN, authorized representative name and title, address, phone number, and email address. The signatory must certify compliance with all three conditions regarding foreign country ownership and control, sign under penalty of perjury, and provide printed name, title, and date. This form is a mandatory compliance document for bid submission and contract award consideration for the plumbing services contract, which involves delivery and installation of plumbing materials and services in accordance with the Uniform Plumbing Code, NFPA standards, local and state regulations, and OSHA requirements, with a required $10,000.00 bid bond.
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Text version
#30889369v2
State of Florida Affidavit Regarding the Use of Companies Owned or Controlled by a Foreign Country of Concern
Respondent Vendor Name:
Vendor FEIN:
Vendor's Authorized Representative Name and Title: ___________________________________
Address: ______________________________________________________________________
City: ____________________________ State: ______________ ZIP: _____________________
Phone Number: _____________________________________________
Email Address:
Section 287.138, Florida Statutes prohibits governmental entities from entering into contracts with companies owned or controlled by a foreign country of concern, meaning 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 Nicolás Maduro, or the Syrian Arab Republic, including any agency of or any other entity of significant control of such foreign country of concern. It requires all nongovernmental entities executing, renewing, or extending a contract with a governmental entity to provide an affidavit signed by an officer or representative of the nongovernmental entity under penalty of perjury that the nongovernmental entity is not owned or controlled by a foreign country of concern. The School Board of Sarasota County is a governmental entity for purposes of this statute.
As the person authorized to sign on behalf of Respondent, I certify that the company identified:
• Is not owned by the government of a foreign country of concern.
• The government of a foreign country of concern does not have controlling interest in the company.
• The company is not organized under the laws of or has its principal place of business in a foreign country of concern.
Under penalties of perjury, I declare that I have read the foregoing document and that the facts stated in it are true.
By: __________________________________________________________________________
AUTHORIZED SIGNATURE
Print Name and Title: ____________________________________ Date: ___________________
THE SCHOOL BOARD OF SARASOTA COUNTY, FLORIDA
PLUMBING SERVICES – TIME AND MATERIALS - BID #26-0038
ATTACHMENT G
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