E._Use_of_Companies_owned_or_Controlled_by_a__Foreign_Country_of_Concern_Affidavit_for_Nongovernmental_Entities.pdf
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- Attached to
- T-Shirt and Shorts - Bid #26-0050
- Solicitation number
- 26-0050
- Issued by
- Sarasota County, Florida
About this file
This is an affidavit form required by the School Board of Sarasota County, Florida for Bid #26-0050, which concerns the procurement of t-shirts and shorts for physical education uniforms, club shirts, and various function shirts. The School Board of Sarasota County intends to establish a firm fixed manufacturer discount for a one-year period to supply approximately 60 locations throughout the Sarasota County School District, including schools and departments. All nongovernmental entities submitting responses must complete and sign this affidavit as Attachment E to their bid submission.
The affidavit requires the vendor's authorized representative to certify under penalty of perjury that the company is not owned or controlled by a foreign country of concern, as defined by Section 287.138, Florida Statutes. The prohibited foreign 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 signatory must confirm that the government of a foreign country of concern does not have a controlling interest in the company and that the company is not organized under the laws of or does not have its principal place of business in any such 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
T-SHIRTS AND SHORTS - BID #26-0050
ATTACHMENT E
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