FORM_6_-_AFFIDAVIT_OF_COMPLIANCE_WITH_SECTIONS_287.138_and_787.06.pdf
PDF 121 KB Posted
- Solicitation number
- 2026-072-MC
- Issued by
- Lee County, Fruitville CDP, Florida
About this file
This document is an Affidavit of Compliance form required by the Lee County Port Authority for RFQ 2026-072-MC, which concerns a Progressive Design-Build project for a Parking Garage, Quick Turnaround Area (QTA), and Demolition/Remediation of Existing Facilities at Southwest Florida International Airport in Florida. The affidavit serves as a compliance certification tool that proposers must complete and have notarized before submission. The form requires an authorized representative of the proposing firm to attest under oath to specific statutory compliance requirements and must be executed in accordance with Florida law, with the notary public's seal or stamp affixed to the document.
The affidavit requires proposers to certify compliance with two Florida statutes: Section 287.138, which prohibits the Port Authority from contracting with foreign entities of concern (specifically identifying 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), and Section 787.06, which prohibits the use of coercion for labor or services. Proposers must affirm that they are not owned by or do not have a controlling interest held by a government of a foreign country of concern, are not organized under the law of such a country, and do not maintain a principal place of business in such a country. The document was last revised on June 29, 2026, and represents page 46 of 58 within the RFQ package.
View the file
Other files
Show all 22
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
RFQ 2026-072-MC: PROGRESSIVE DESIGN-BUILD FOR PARKING GARAGE, QUICK TURNAROUND AREA (QTA), AND DEMOLITION/REMEDIATION OF EXISTING FACILITIES
FORM 6: AFFIDAVIT OF COMPLIANCE WITH SECTIONS 287.138 (FOREIGN ENTITIES OF
CONCERN) and 787.06 (HUMAN TRAFFICKING), FLORIDA STATUTES
Before me, the undersigned authority, personally appeared _______________________ (Name of Affiant) after being first duly sworn, deposes and says of his/her personal knowledge the following:
1. Affiant is the (Title) of (Business Name) ____________________________________________ which does business in the State of Florida, hereinafter called the “Proposer.”
2. Proposer, pursuant to Section 287.138, Florida Statutes, certifies that (1) Proposer is not owned by a government of a foreign country of concern; (2) a government of a foreign country of concern does not have a “controlling interest” in Proposer, as defined by Section 287.138(1)(a), Florida Statutes; and (3) Proposer is not organized under the law of nor has its principal place of business in a foreign country of concern. For the 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, as defined in Section 287.138(1)(c), Florida Statutes, as amended from time to time.
3. Proposer, pursuant to Section 787.06, Florida Statutes, certifies that Proposer does not use coercion for labor or services as defined in Section 787.06, Florida Statutes, as amended from time to time.
4. This Affidavit is executed by the Proposer in accordance with Section 287.138, Florida Statutes, for the purposes of preventing the Port Authority from entering contracts with foreign entities of concern which would provide proper access to an individual’s personal identifying information.
5. This Affidavit is executed by the Proposer in accordance with Section 787.06, Florida Statutes.
Signed and Delivered on this day of , 20__.
Signature of Affiant
Printed Name
Notary Public
STATE OF _______; COUNTY OF
The foregoing instrument was signed and acknowledged before me this _______ day of _________________, 20___, by ____________________________________________ by means of � physical presence or � online notarization who produced the following as identification _______________________(type of identification) or is personally known to me.
My Commission Expires ________________ [stamp or seal]
[Signature of Notary Public]
[Typed or printed name]
Rev: 6.29.2026 Page 46 of 58
File details come from the government source that posted it. Updated .