3-Attachment E-Foreign Country of Concern.pdf

This is a Foreign Country of Concern Attestation form (PUR 1355) required by governmental entities in Florida under Rule 60A-1.020, F.A.C. The form must be completed by an officer or representative of any entity submitting bids, proposals, or replies to contracts, or entering into, renewing, or extending contracts with governmental entities that would grant access to individuals' Personal Identifying Information. The form serves as a mandatory attestation document that must be submitted as part of the contracting process for applicable procurements.

The attestation requires entities to declare under penalty of perjury that they are not owned by the government of a Foreign Country of Concern, are not organized under the laws of or have their 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 form includes fields for the printed name, title, signature, and date of the certifying officer or representative, establishing legal accountability for the truthfulness of the attestation. This requirement appears to be part of security and national interest protections for contracts involving access to sensitive personal information.