Form_7.14_-_Affidavit_of_Compliance_with_F.S._287.138.pdf
PDF 193 KB Posted
- Attached to
- City Center Sport Complex Ballfields Restoration
- Solicitation number
- ITB-26-22-CW
- Issued by
- Volusia County, Florida
About this file
This is an Affidavit of Compliance with Section 287.138 of the Florida Statutes, a mandatory compliance document for entities contracting with the State of Florida. The affidavit requires the contracting entity to attest under penalty of perjury that it is not owned by, controlled by, or organized under the laws of a foreign country of concern, as defined in Florida law. The document must be completed by an authorized representative of the bidding entity, signed, and notarized before submission with the bid or proposal package.
The affidavit identifies foreign countries of concern as 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, including any agencies or entities of significant control thereof. The form requires the affiant to provide their title and business name, execute the document under oath, and have it acknowledged before a notary public. Completion and return of this affidavit with the project submittal is mandatory for the City Center Sport Complex Ballfields Restoration project in Florida.
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Text version
FORM 7.14 – AFFIDAVIT OF COMPLIANCE WITH SECTION 287.138, FLORIDA STATUTES
AFFIDAVIT OF COMPLIANCE WITH SECTION 287.138, FLORIDA STATUTES CONTRACTING WITH
FOREIGN ENTITIES OF CONCERN
The undersigned (“Affiant”), on behalf of the entity listed below (“Entity”), hereby attests under penalty of perjury as follows:
1. Affiant is the ________________________________ of _____________________________________________________________________ (Title) (Business Name) which does business in the State of Florida, hereinafter called the “Entity”.
2. Entity is not owned by the government of a foreign country of concern, as defined in Section 287.138 (1)
(c), Florida Statutes.
3. The government of a foreign country of concern does not have a controlling interest in Entity, as defined in Section 287.138 (1)(a), Florida Statutes.
4. Entity is not organized under the laws of, and does not have a principal place of business in, a foreign country of concern.
5. Entity is not owned or controlled by the government of a foreign country of concern.
6. For purposes of this affidavit, a 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 Nicolas 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.
The undersigned is authorized to execute this affidavit on behalf of the Entity.
Date: ______________________, 20____ Signed: ____________________________________________________
Entity: ______________________________________________ Name: _____________________________________________
Title: _______________________________________________________________________
STATE OF: ___________________________ COUNTY OF: ___________________________
The foregoing instrument was acknowledged before me by means of ☐physical presence or ☐online notarization, this _________ day of _______________________, 2026, by____________________________________________________________ and who:
☐Is personally known to me; or ☐ has produced ________________________________________ as identification.
Notary Public, State of Florida at Large: (seal) Printed Name/Seal of Notary, Commission and Expiration Date:
My commission expires: _________________________________________
This document must be completed and returned with your Submittal
File details come from the government source that posted it. Updated .