10-Foreign Country of Concern Attestation (PII).docx

DOCX document 36 KB Posted

Attached to
Master Banking Services
Solicitation number
GEN2131264P1
Issued by
Broward County, Florida

About this file

This file is a Foreign Country of Concern Attestation form required by Broward County, Florida for vendors seeking to provide Master Banking Services. The attestation is mandatory for any contract that provides access to personal identifying information and must be completed and submitted with the vendor's proposal. If not included in the initial submittal, vendors must provide the form within three business days of the County's request and no later than contract execution. Failure to comply within the specified timeframe may result in the vendor being deemed nonresponsive. The Master Banking Services solicitation encompasses five service groups: Lockbox Services, Merchant Card Services, Purchasing Card Services, Third-Party Custodian/Safekeeping Services, and Treasury Services. Vendors may submit proposals for one or multiple banking services but must perform all work directly without subcontracting or outsourcing. Each banking service proposal requires separate submissions of evaluation criteria responses, pricing, and all other required documentation.

The Foreign Country of Concern Attestation requires the vendor to declare, under penalties of perjury, that it is not owned by the government of a Foreign Country of Concern, not organized under the laws of a Foreign Country of Concern, does not have its Principal Place of Business in a Foreign Country of Concern, and that no Foreign Country of Concern government holds a Controlling Interest in the entity. The attestation form, dated September 9, 2024, must be signed and notarized by an authorized representative. Additional solicitation requirements include compliance with License/Certification Requirements, completion of an Enterprise Technology Services Vendor Security Questionnaire, and adherence to Payment Card Industry Data Security Standards. The County also applies Office of Economic and Small Business Development procurement preferences for Small Business Enterprises and County Business Enterprises. Vendors are encouraged to submit all available documentation, including optional items listed in BPRO, to facilitate timely and comprehensive evaluation.

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Other files

File Type Posted
49-Addenda No. 1.pdf PDF
16-Insurance Requirements, T-P Custodian Safekeeping Services (Group 4), GEN2131264P1.pdf PDF
18-Vendor Reference Verification, Lockbox Services (Group 1), GEN2131264P1.docx DOCX document
6-Agreement Exceptions - RFP-RFQ-RLI.docx DOCX document
32-Group 1-Lockbox Services, Evaluation Criteria, GEN2131264P1.pdf PDF
8-Vendor Questionnaire and Standard Certifications - RFP-RFQ-RLI.docx DOCX document
26-Functionality Checklist, Purchasing Card Services (Group 3), GEN2131264P1.xlsx XLSX spreadsheet
15-Insurance Requirements, Purchasing Card Services (Group 3), GEN2131264P1.pdf PDF
36-Group 2-Merchant Card Services, Evaluation Criteria, GEN2131264P1.pdf PDF
39-Group 3-Purchasing Card Services, Evaluation Criteria, GEN2131264P1.pdf PDF
41-Enterprise Technology Services Vendor Security Questionnaire, GEN2131264P1.xlsx XLSX spreadsheet
19-Vendor Reference Verification, Merchant Card Services (Group 2), GEN2131264P1.docx DOCX document
43-Group 3-Purchasing Card Services, Scope of Services, GEN2131264P1.pdf PDF
44-Group 5-Treasury Services, Scope of Services, GEN2131264P1.pdf PDF
31-Group 4-Third-Party Safekeeping Custodian, Scope of Services, GEN2131264P1.pdf PDF
47-Vendor Proposed Banking Services, GEN2131264P1.docx DOCX document
9-OESBD - Procurement Preferences SBE-CBE.docx DOCX document
21-Vendor Reference Verification, T-P Custodian Safekeeping Services (Group 4), GEN2131264P1.docx DOCX document
3-OESBD Affiliated Entities of the Principals Certification.docx DOCX document
11-Sample Client Analysis Statement, GEN2129421P1.pdf PDF
42-Group 2-Merchant Card Services, Scope of Services, GEN2131264P1.pdf PDF
1-Summary of Vendor Rights for Broward County Competitive Solicitations.docx DOCX document
13-Insurance Requirements, Master Banking Services (All Banking Services), GEN2131264P1.pdf PDF
7-Volume of Previous Payments Attestation - RFP-RFQ-RLI.docx DOCX document
23-Payment Card Processing Questionnaire, GEN2131264P1.pdf PDF
27-Demonstration Script, Treasury Services (Group 5), GEN2131264P1.docx DOCX document
29-Location Certification - RFP-RFQ-RLI.docx DOCX document
30-Group 4-Third-Party Safekeeping Custodian, Evaluation Criteria, GEN2131264P1.pdf PDF
35-Group 5-Treasury Services, Evaluation Criteria, GEN2131264P1.pdf PDF
45-Group 5-Treasury Services, Questionnaire, GEN2131264P1.docx DOCX document
25-Demonstration Script, Purchasing Card Services (Group 3), GEN2131264P1.docx DOCX document
34-Domestic Partnership Act Certification - RFP-RFQ-RLI.docx DOCX document
22-Vendor Reference Verification, Treasury Services (Group 5), GEN2131264P1.docx DOCX document
4-Litigation History.docx DOCX document
17-Insurance Requirements, Treasury Services (Group 5), GEN2131264P1.pdf PDF
37-Group 1-Lockbox Services, Scope of Services, GEN2131264P1.pdf PDF
20-Vendor Reference Verification, Purchasing Card Services (Group 3), GEN2131264P1.docx DOCX document
38-Instructions to Vendors, GEN2131264P1.pdf PDF
46-Functionality Checklist, Merchant Card Services (Group 2), GEN2131264P1.xlsx XLSX spreadsheet
12-Insurance Requirements, Lockbox Services (Group 1), GEN2131264P1.pdf PDF
2-Lobbyist Registration Requirement Certification.docx DOCX document
14-Insurance Requirements, Merchant Card Services (Group 2), GEN2131264P1.pdf PDF
48-Sign-In Sheet - Pre-Proposal Meeting - GEN2131264P1.pdf PDF
40-Enterprise Technology Services Security Requirements Exhibit – High Risk, GEN2131264P1.pdf PDF
33-Pricing Worksheet, GEN2131264P1.xlsx XLSX spreadsheet
5-Criminal History Screening Practices Certification.docx DOCX document
28-Functionality Checklist, Treasury Services (Group 5), GEN2131264P1.xlsx XLSX spreadsheet
24-Demonstration Script, Merchant Card Services (Group 2), GEN2131264P1.docx DOCX document
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Text version

FOREIGN COUNTRY OF CONCERN ATTESTATION

(for Contracts giving access to an individual’s personal identifying information)

The completed form should be returned with the Vendor’s submittal. If not provided with the submittal, Vendor must submit the form(s) within three business days after County’s request and no later than entering, renewing, or extending, a contract with Broward County. Vendor may be deemed nonresponsive for failure to fully comply within the stated timeframe.

Capitalized terms used herein have the definitions ascribed in Rule 60A-1.020, F.A.C.

Vendor is not owned by the government of a Foreign Country of Concern, is not organized under the laws of nor has its Principal Place of Business in a Foreign Country of Concern, and the government of a Foreign Country of Concern does not have a Controlling Interest in the entity.

Under penalties of perjury, I declare that I have read the foregoing statement and that the facts stated in it are true.

Vendor Name: Click or tap here to enter text.

Signature: ______________________________ Printed Name: Click or tap here to enter text.

Title: Click or tap here to enter text.

Date: Click or tap to enter a date.

Form Date 9/9/24

File details come from the government source that posted it. Updated .