3-Attachment E-Foreign Country of Concern.pdf

809 KB Posted

Attached to
Parking Garage Doors
Solicitation number
PROJ-26-008
Issued by
Volusia County, Florida

About this file

Written by GovTribe AI ·

This document is Attachment E, a Foreign Country of Concern Attestation form (PUR 1355) intended for use by governmental entities in Florida, as referenced by Rule 60A-1.020, F.A.C. The form requires an officer or representative of an entity submitting a bid, proposal, or entering into a contract with a governmental entity to attest that their organization is not owned, organized, or controlled by the government of a Foreign Country of Concern.

The attestation specifically requires the submitting entity to declare under penalties of perjury that: 1) the entity is not owned by a foreign government of concern, 2) the entity is not organized under the laws of a Foreign Country of Concern, 3) the entity's principal place of business is not in a Foreign Country of Concern, and 4) the government of a Foreign Country of Concern does not have a controlling interest in the entity. The form provides spaces for the printed name, title, signature, and date of the attesting representative.

View the file

Other files

File Type Posted
2-Attachment D-Scrutinized Companies.pdf PDF
5-Exhibit B - IRS Form W9.pdf PDF
6-Attachment B-Bidders Cert.pdf PDF
10-EXHIBIT 2 - visionaire-microcoil-grille.pdf PDF
4-Exhibit A- Bonfire FAQs.pdf PDF
7-Attachment F-Subcontractors List.pdf PDF
8-Attachment C-Human Trafficking.pdf PDF
1-Attachment A - Public Entity Crimes.pdf PDF
9-Attachment G-Total Project Cost.pdf PDF
11-EXHIBIT 1 - Ground floor,1st floor Parking Garage Drawing.pdf PDF
12-ITB PROJ-26-008 Parking Garage Doors.pdf PDF
Show all 11

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

Attachment E

FOREIGN COUNTRY OF CONCERN ATTESTATION (PUR 1355)

This form must be completed by an officer or representative of an entity submitting a bid, proposal, or reply to, or entering into, renewing, or extending, a contract with a Governmental Entity which would grant the entity access to an individual’s Personal Identifying Information. Capitalized terms used herein have the definitions ascribed in Rule 60A-1.020, F.A.C.

Name of entity 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.

Printed Name:__________________________________________________________________

Title: _________________________________________________________________________

Signature: _____________________________________________________ Date: __________

PUR 1355 (10/23) Rule 60A-1.020, F.A.C.

PUR 1355 1023:
Rule 60A1020 FAC:
Text1:
Text3:
Text4:

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