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

This is a Foreign Country of Concern Attestation form required by Broward County, Florida for vendors seeking contracts that provide access to personal identifying information. The attestation confirms that the vendor is not owned by, organized under the laws of, or has its principal place of business in a Foreign Country of Concern, and that the government of such a country does not hold a controlling interest in the entity. The completed form must be submitted with the vendor's proposal or within three business days of the County's request and no later than contract execution. Vendors deemed non-responsive for failure to comply within the stated timeframe may be excluded from consideration.

The attestation is submitted under penalties of perjury and requires the vendor's authorized representative to sign and provide their printed name, title, and date. The form establishes a compliance requirement specific to the Airport Safety Assessment solicitation for North Perry Airport, which seeks a qualified vendor to conduct a comprehensive safety assessment including infrastructure vulnerability identification, regulatory compliance review, benchmarking against similar airports, and recommendations for technology integration and operational improvements. Non-compliance with this attestation requirement may result in vendor disqualification from the procurement process.