Form_9.13_-_Affidavit_of_Compliance_with_F.S._287.138.pdf
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- Solicitation number
- RFP-26-24-CW
- Issued by
- Volusia County, Florida
About this file
This is an Affidavit of Compliance with Florida Statute 287.138, a required certification document for state and local contract opportunities in Florida. The affidavit pertains to RFP 26-24-CW for the Re-Advertisement of the Elevation of Flood Prone Homes project. The project involves the elevation of eleven single-family structures, with respondents permitted to propose bids on any number of structures from one to all eleven that they can complete within the required timeline. No preference is given to respondents bidding on all properties. The affidavit serves as a declaration that the submitting party complies with Florida Statute 287.138 requirements, which typically address contractor qualifications, licensing, and statutory compliance obligations necessary for participation in state and local contracting opportunities.
The affidavit is a mandatory compliance document that must be submitted as part of the bidding process for this Florida state and local contract opportunity. Respondents are required to certify their compliance with applicable Florida statutes and regulations governing contractors and vendors. This document is essential for bid qualification and establishes that the respondent meets the legal prerequisites for participation in the elevation project. The specific compliance requirements outlined in Florida Statute 287.138 ensure that only qualified and legally compliant entities may participate in this state-funded flood mitigation initiative.
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FORM 9.13 – 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 _______________________, 2025, 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
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