PUR 1355 Foreign Country of Concern Attestation

PUR 1355 is a Florida attestation form required by Rule 60A-1.020, F.A.C., for entities submitting bids, proposals, or replies to, or entering into, renewing, or extending contracts with a Governmental Entity that would grant access to an individual's Personal Identifying Information. The form must be completed and signed by an officer or representative of the bidding entity. The attestation confirms that the entity is not owned by the government of a Foreign Country of Concern, is 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 the government of a Foreign Country of Concern does not have a Controlling Interest in the entity.

The signatory must declare under penalties of perjury that they have read the attestation statement and that the facts stated are true. The form requires the printed name, title, signature, and date of the authorized officer or representative. This certification is a compliance requirement for any entity seeking to handle Personal Identifying Information in state and local government contracts and must be submitted as part of the bidding or contracting process.