Verification_of_Compliance_Form.pdf
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- Solicitation number
- EVN0057600
- Issued by
- Florida
About this file
This is a Verification of Compliance Form issued by the Clerk of the Court and Comptroller of Miami-Dade County's Procurement Department for a state and local contract opportunity in Florida. The form requires bidders and proposers to certify compliance with five Florida statutory requirements: non-use of coercion for labor or services as defined in Section 787.06 (Human Trafficking); non-status as an entity of foreign countries of concern under Section 287.138; absence from the Scrutinized Companies lists related to Sudan, Iran, and Israel as defined in Sections 287.135, 215.473, and 215.4725; non-inclusion on the State of Florida's convicted vendor list per Section 287.133; and compliance with E-Verify system requirements under Section 448.095. The contract opportunity relates to Printed Business Forms, Business Cards & Envelopes, with a pre-bid conference scheduled for July 30, 2026, at 10:00 AM Local Time conducted via Microsoft Teams webinar for informational purposes only.
Bidders and proposers must submit the completed verification form under penalties of perjury, with authorized representative signature, title, company name, and date. If unable to provide certification, bidders may submit a written explanation of facts supporting claimed exceptions under applicable Florida statutes, with failure to provide such documentation resulting in the Clerk treating the bid submission as confirmation of compliance. The Clerk reserves the right to terminate any resulting contract for default if a bidder is found to have submitted false certification or is subsequently placed on any of the Scrutinized Companies lists. Bidders must cooperate fully with any investigations undertaken by the Clerk to determine applicability of claimed exceptions.
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Text version
Clerk of the Court and Comptroller of Miami-Dade County
Clerk of the Board and Procurement Department
Verification of Compliance with Florida Statutory Requirements 111 NW 1st Street, Suite 1700, Miami, FL 33128
The undersigned, duly authorized representative of the Bidder or Proposer identified below, submits to the Clerk of the Court and Comptroller of Miami-Dade County the following verification of its compliance with the requirements of Florida law:
1. The Bidder or Proposer does not use coercion for labor or services as defined in Section 787.06, Florida Statutes
(“Human Trafficking”).
2. The Bidder or Proposer does not meet any of the criteria set forth in Paragraphs 2(a)-(c) of Section 287.138, Florida
Statutes (“Contracting with Entities of Foreign Countries of Concern”).
3. The Bidder is not on the Scrutinized Companies with Activities in Sudan List, or the Scrutinized Companies with
Activities in the Iran Terrorism Sectors List, or the Scrutinized Companies that Boycott Israel List, as those terms are used and defined in Sections 287.135, 215.473, and 215.4725, Florida Statutes. The Clerk shall have the right to terminate any
Contract resulting from this Solicitation for default if the Bidder or Proposer is found to have submitted a false certification or to have been placed on the Scrutinized Companies with Activities in Sudan List, the Scrutinized Companies with Activities in the Iran Terrorism Sectors List, or the Scrutinized Companies that Boycott Israel List.
OR
In the event that the Bidder or Proposer is unable to provide such certification but still seeks to be considered for award of this Solicitation, the Bidder or Proposer shall furnish together with its Bid or Proposal a duly executed written explanation of the facts supporting any exception to the requirement for certification that it claims under Section 287.135 and/or 215.4725, Florida Statutes. In the absence of such documentation, the Clerk shall treat the Bidder’s or Proposer’s submittal of the Bid or Proposal as confirmation that the Bidder or Proposer is not on the Scrutinized Companies with Activities in Sudan List, or the Scrutinized Companies with Activities in the Iran Terrorism Sectors List, or the Scrutinized Companies that Boycott Israel
List in accordance with the paragraph above. The Bidder or Proposer agrees to cooperate fully with the Clerk in any investigation undertaken by the Clerk to determine whether the claimed exception could be applicable.
4. The Bidder or Proposer is not on the convicted vendor list maintained by the State of Florida pursuant to Section
287.133, Florida Statutes or is otherwise in compliance with the requirements of that section for contracting with a public entity.
5. The Bidder or Proposer is in compliance with the requirements of Section 448.095, Florida Statutes relating to the use of the E-Verify system.
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true.
Bidder’s or Proposer’s Legal Company Name (include d/b/a if applicable):
Bidder’s or Proposer’s Authorized Representative’s Signature:
Representative’s Title:
Date:
https://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&URL=0700-0799/0787/Sections/0787.06.html https://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0200-0299/0287/Sections/0287.138.html https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0200-0299/0287/Sections/0287.135.html https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0200-0299/0215/Sections/0215.473.html https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0200-0299/0215/Sections/0215.4725.html https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0200-0299/0287/Sections/0287.135.html https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0200-0299/0215/Sections/0215.4725.html https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&Search_String&URL=0200-0299/0287/Sections/0287.133.html https://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0400-0499/0448/Sections/0448.095.html
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