Form_8_Affidavit_of_Compliance_with_287.138_and_787.06.pdf
PDF 103 KB Posted
- Attached to
- Landscaping Services at Page Field
- Solicitation number
- 26-0080LB
- Issued by
- Lee County, Fort Lauderdale City, Florida
About this file
This is a Form 8 Affidavit of Compliance document required for RFB 26-0080LB: Landscaping Services at Page Field, issued by the Port Authority in Florida. The affidavit serves as a mandatory certification that bidders must complete and submit as part of the proposal process. Bidders are required to affirm compliance with two Florida statutes: Section 287.138 regarding foreign entities of concern, and Section 787.06 regarding human trafficking and labor coercion. The document must be executed before a notary public and includes fields for the affiant's name, title, business name, signature, and notarization details.
The affidavit requires bidders to certify three specific conditions under Section 287.138: that the bidding entity is not owned by a foreign government of concern, that no foreign government of concern maintains controlling interest in the bidder, and that the bidder is not organized under the law of or headquartered in a foreign country of concern. For purposes of compliance, foreign countries of concern are defined 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. Additionally, bidders must certify under Section 787.06 that they do not use coercion for labor or services. The affidavit must be notarized with physical presence or online notarization, with the notary public providing identification verification and commission expiration information.
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Text version
RFB 26-0080LB: LANDSCAPING SERVICES AT PAGE FIELD
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 “Bidder.”
2. Bidder, pursuant to Section 287.138, Florida Statutes, certifies that (1) Bidder 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 Bidder, as defined by Section 287.138(1)(a), Florida Statutes; and
(3) Bidder 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. Bidder, pursuant to Section 787.06, Florida Statutes, certifies that Bidder 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 Bidder 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 Bidder 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: 3.24.2026 Page 57 of 61
| after being first duly sworn deposes and says of hisher personal knowledge the following: |
| Business Name which does business in the State of Florida hereinafter called the Bidder: |
| Title of: |
| day of: |
| 20: |
| Printed Name: |
| COUNTY OF: |
| undefined: |
| fill_10: |
| presence: |
| online: |
| notarization: |
| My Commission Expires: |
| type of identification or is personally known to me: |
| Typed or printed name: |
| Text27: |
| Check Box28: Off |
| Check Box29: Off |
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