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2025-142A
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2025-142A
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Last modified
9/15/2025 11:42:07 AM
Creation date
9/15/2025 11:40:44 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
07/01/2025
Control Number
2025-142A
Agenda Item Number
9.N.
Entity Name
ARAG Insurance Company and/or ARAG Services, LLC
Subject
Master Service Agreement
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(required <br />Foreign Entity Ownership Affidavit <br />every bid or offer, or contract which gives Ent <br />individual's personal identifying information) <br />access to an <br />The undersigned, on behalf of the Entity listed below, hereby attests under penalty of perjury as <br />follows: <br />1. Entity is not owned by the government of a foreign country of concern as defined <br />in Section 287.138, Florida Statutes. (Source: § 287.138(2)(a), Florida Statutes) <br />2. The government of a foreign country of concern does not have a controlling <br />interest in Entity. (Source: § 287.138(2)(b), Florida Statutes) <br />3. Entity is not organized under the laws of, and does not have a principal place of <br />business in, a foreign country of concern. (Source: § 287.138(2)(c), Florida <br />Statutes) <br />4. Entity is not owned or controlled by the government of a foreign country of <br />concern, as defined in Section 692.201, Florida Statutes. (Source: § 288.007(2), <br />Florida Statutes) <br />5. Entity is not a partnership, association, corporation, organization, or other <br />combination of persons organized under the laws of or having its principal place <br />of business in a foreign country of concern, as defined in Section 692.201, <br />Florida Statutes, or a subsidiary of such entity. (Source: § 288.007(2), Florida <br />Statutes) <br />6. Entity is not a foreign principal, as defined in Section 692.201, Florida Statutes. <br />(Source: § 692.202(5)(a)(1), Florida Statutes) <br />7. Entity is in compliance with all applicable requirements of Sections 692.202, <br />692.203, and 692.204, Florida Statutes. <br />8. (Only applicable if purchasing real property) Entity is not a foreign principal <br />prohibited from purchasing the subject real property. Entity is either (a) not a <br />person or entity described in Section 692.204(1)(a), Florida Statutes, or (b) <br />authorized under Section 692.204(2), Florida Statutes, to purchase the subject <br />property. Entity is in compliance with the requirements of Section 692.204, <br />Florida Statutes. (Source: §§ 692.203(6)(a), 692.204(6)(a), Florida Statutes) <br />9. The undersigned is authorized to execute this affidavit on behalf of Entity. <br />Signature <br />Ann Cosimano <br />Printed Name <br />General Counsel <br />Title <br />ARAG North America Incorporated <br />Entity <br />Date: 6/25/2025 <br />
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