Attachment_G._Use_of_Companies_owned_or_Controlled_by_a__Foreign_Country_of_Concern_Affidavit_for_Nongovernmental_Entities.pdf
PDF 220 KB Posted
- Solicitation number
- 26-0158
- Issued by
- Sarasota County, Florida
About this file
This is an affidavit form required by the School Board of Sarasota County, Florida for vendors responding to Bid #26-0158 for Safety & Security Systems Services, Parts, and Consumables. The School Board seeks to establish firm percentage discounts off current MSRP for security systems, services, and parts for use at various school-owned and operated locations over a one-year period. The bid also requests firm fixed pricing for individual consumable products and bi-annual service inspections of gate systems, as well as hourly installation and repair rates for security system installation, service, repair, and maintenance. Any contractor bidding on installation, repair, and maintenance services for security alarm systems or access control systems must hold a Florida State license as either a registered Electrical Contractor Class EF (Alarm System Contractor I) or Class EG (Alarm System Contractor II).
This affidavit form requires respondent vendors to certify under penalty of perjury that they are not owned or controlled by a foreign country of concern as defined by Florida Statute 287.138. The prohibited countries of concern include 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. The authorized representative of the responding vendor must sign and declare that the company is not owned by the government of a foreign country of concern, does not have controlling interest held by such a government, and is not organized under the laws of or principally located in a foreign country of concern.
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Text version
#30889369v1
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
SAFETY & SECURITY SYSTEMS - SERVICES, PARTS, & CONSUMABLES – BID #26-0158
ATTACHMENT G
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File details come from the government source that posted it. Updated .