Foreign_Countries_of_Concern_Affidavit_02.05.2025.pdf
PDF 115 KB Posted
- Attached to
- Parking Management System State and local contract opportunity
- Solicitation number
- 25-0657-RFP
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
This is a Foreign Country of Concern Affidavit required by Pinellas County, Florida for contractors bidding on or entering into contracts that would grant access to personal identifying information. The affidavit certifies that the contractor is not owned by or under the controlling interest of governments from designated foreign countries of concern, including the People's Republic of China, Russian Federation, Islamic Republic of Iran, Democratic People's Republic of Korea, Republic of Cuba, Venezuelan regime of Nicolas Maduro, or Syrian Arab Republic. The affidavit must be completed and notarized by an authorized representative of any contractor submitting a bid or proposal for the Parking Management System contract with Pinellas County Parks and Conservation Resources. A controlling interest is defined as possession of power to direct management or policies, including direct or indirect voting rights of 25 percent or more of the company or entitlement to 25 percent or more of profits. The document requires the contractor's signature, printed name, date, Federal Work Authorization User Identification number, and the name and number of the Pinellas County contract, followed by notarization with the notary public's seal, commission expiration date, and identification verification.
The affidavit is a mandatory compliance requirement for the Parking Management System RFP, which seeks a comprehensive solution to manage over 5,400 parking spaces across parks and boat ramps in Pinellas County. The contract term is 60 months with two optional 12-month extension periods, with a total expenditure cap of $450,000 for the initial period and annual expenditures not to exceed $90,000 without written amendment. Proposals are due July 1, 2025, at 3:00 pm, with a non-mandatory pre-conference meeting scheduled for June 5, 2025. Previous bid submissions have ranged from $220,380 to $2,059,955, though the county estimates a budget of approximately $440,000 to $450,000. The system must process approximately 12,620 citations annually and integrate with existing infrastructure including Flowbird pay stations, ParkMobile, and Text to Pay services.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| Parking_Management_System_(Addendum_#1_Revision).pdf | ||
| Parking_Management_System_(Addendum_#1_Revision).pdf | ||
| Foreign_Countries_of_Concern_Affidavit_02.05.2025.pdf | ||
| Human_Trafficking_Affidavit_02.05.2025.pdf | ||
| Human_Trafficking_Affidavit_02.05.2025.pdf | ||
| RFP_2026_draft_v1.0.docx | DOCX document | |
| RFP_Cost_estimate.xlsx | XLSX spreadsheet | |
| RFP_Cost_estimate.xlsx | XLSX spreadsheet | |
| RFP_2026_draft_v1.0.docx | DOCX document | |
| Non-Competitive_Oversight_Committee_Justification_Form.docx | DOCX document | |
| Project_Goals_History_v1.0_(2).docx | DOCX document | |
| Non-Competitive_Oversight_Committee_Justification_Form.docx | DOCX document | |
| Project_Goals_History_v1.0_(2).docx | DOCX document |
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Text version
Foreign County of Concern Affidavit
I hereby certify that ____________________________________( the “Contractor”) is not an entity owned by the government of a Foreign Country of Concern; the government of a Foreign Country of Concern does not have a Controlling Interest in the entity; nor is the entity organized under the laws of or has its principal place of business in a Foreign Country of Concern, and is otherwise in full compliance with Section §287.138, Florida Statutes.
This Affidavit must be completed by an authorized representative of the Contractor submitting a bid, proposal, reply to, or entering into, renewing, or extending, a contract with the County, which would grant the entity access to an individual’s Personal Identifying Information.
For purposes of this Affidavit:
“Foreign Country of Concern” means 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.
“Controlling Interest” means possession of the power to direct or cause the direction of the management or policies of a company, whether through ownership of securities, by contract, or otherwise. A person or entity that directly or indirectly has the right to vote 25 percent or more of the voting interests of the company or is entitled to 25 percent or more of its profits is presumed to possess a controlling interest.
Under penalties of perjury, I declare that I have read the foregoing affidavit and that the facts stated in it are true.
Signature: ______________________________
Print Name: ______________________________
Date: ______________________________
Federal Work Authorization User Identification No.: _____________________________
Name of Pinellas County Contract and Contract No.: ____________________________
STATE OF FLORIDA COUNTY OF ________________
The foregoing instrument was acknowledged before me by means of 1) physical presence __ or 2) online notarization___, this __________________________ (date) by ____________________________ of _____________________________________, a __________________________________ corporation, on behalf of the corporation.
He/she is personally known to me or has produced __________________________________ as identification.
[Notary Seal]
Notary Public: _________________________________________
Name typed, printed, or stamped: _________________________________________
My Commission Expires: _________________________________________
| Print Name: |
| Date: |
| Federal Work Authorization User Identification No: |
| Name of Pinellas County Contract and Contract No: |
| Notary Public: |
| Contractor Name: |
| County Name: |
| Notarization Date: |
| Name: |
| Type of Identification: |
| 1: |
| 2: |
| Notary Name: |
| Expiration Date: |
| Check Box3: Off |
| Check Box4: Off |
File details come from the government source that posted it. Updated .