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
- 26-0158
- Issued by
- Sarasota County, Florida
About this file
This is an affidavit form issued by the School Board of Sarasota County, Florida as Attachment G to Invitation to Bid #26-0158 for Safety & Security Systems: Services, Parts, & Consumables. The form requires all nongovernmental entities (vendors) submitting bids to certify under penalty of perjury that they are not owned or controlled by foreign countries of concern, as defined by Florida Statute 287.138. The countries of concern listed 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. Respondents must provide their vendor name, Federal Employer Identification Number (FEIN), authorized representative information, business address, phone number, and email address on the form, and the authorized signatory must certify that the company is not owned by a foreign government, that no foreign country of concern has controlling interest, and that the company is not organized under the laws of or principally based in a foreign country of concern.
The affidavit must be signed by an officer or authorized representative of the vendor and submitted as part of the bid response. This certification requirement applies to all vendors participating in the procurement regardless of bid category or award status, and failure to provide a properly executed affidavit may result in bid disqualification. The form is a standardized compliance document designed to ensure that the School Board of Sarasota County maintains its obligation under state law to contract only with entities not owned or controlled by designated foreign countries 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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