FORM_8_AFFIDAVIT_OF_COMPLIANCE_AND_HUMAN_TRAFFICKING.pdf

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Attached to
General Planning and Environmental Services For The Lee County Port Authority
Solicitation number
26-0068BW
Issued by
Lee County, Fruitville CDP, Florida

About this file

This is an Affidavit of Compliance form (Form 8) required for the Lee County Port Authority's Request for Qualifications (RFQ 26-0068BW) for General Planning and Environmental Services in Florida. The affidavit must be completed and notarized by an authorized representative of any proposing entity seeking to contract with the Port Authority. The form serves as the proposer's sworn certification that it meets Florida statutory requirements regarding foreign entities of concern and human trafficking compliance.

The affidavit requires proposers to certify three primary compliance matters under Florida law. First, under Section 287.138, proposers must confirm they are not owned by, do not have a controlling interest from, and are not organized under the laws of designated foreign countries of concern, which 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. Second, under Section 787.06, proposers must certify they do not use coercion for labor or services. The affidavit must be executed before a notary public with proper identification verification and notarization, with the notary's commission expiration date and seal or stamp affixed to the document.

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RFQ 26-0068BW: GENERAL PLANNING AND ENVIRONMENTAL SERVICES FOR THE LEE COUNTY PORT AUTHORITY

FORM 8: 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: 3.4.2026 Page 47 of 48

or:
Typed or printed name:
Name of Affiant:
Title:
Business Name:
This Day:
State:
County:
Day:
Month:
Year:
by:
Group1: Off
Type of identification:

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