8. PUR_1355.docx

DOCX document 31 KB Posted

Attached to
District Five Supplemental Routine Maintenance – Oviedo Operations State and local contract opportunity
Solicitation number
ITB-13088
Issued by
Seminole County, Florida

About this file

This document is a Foreign Country of Concern Attestation form (PUR 1355) designed for entities submitting bids, proposals, or entering contracts with governmental entities where access to personal identifying information may be granted. The form requires an officer or representative to declare that their organization is not owned, organized, or principally located in a Foreign Country of Concern, and no such government has a controlling interest in the entity.

The attestation form is a standardized legal document that requires the declarant to sign under penalties of perjury, confirming the truthfulness of the statement. The form includes fields for the printed name, title, signature, and date of the authorized representative, and is referenced under Rule 60A-1.020, F.A.C. (Florida Administrative Code). Its primary purpose appears to be ensuring transparency and mitigating potential security risks related to foreign government involvement in state and local contracts.

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Other files for this state and local contract opportunity

Other files attached to District Five Supplemental Routine Maintenance – Oviedo Operations, newest first.
File Type Posted
DOT-ITB-26-5002-OMC Complete.pdf PDF
8. PUR_1355.docx DOCX document
Bid Price Proposal OMC, Form No.2.xlsx XLSX spreadsheet
DOT-ITB-26-5002-OMC Complete.pdf PDF
Bid Price Proposal OMC, Form No.2.xlsx XLSX spreadsheet
Addendum 1.pdf PDF
Q&A 1 - OMC.pdf PDF

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Text version

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) Page 1 of 1 Rule 60A-1.020, F.A.C.

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