Appendix_B_Foreign_Country_of_Concern_Attestation.pdf
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- Attached to
- Advanced Traffic Management System Design Continuing Services State and local contract opportunity
- Solicitation number
- 26-18SS
- Issued by
- Sarasota County, Siesta Key CDP, Florida
About this file
This is a Foreign Country of Concern Attestation form (PUR 1355) required by the City of Sarasota, Florida for the Advanced Traffic Management System Design Continuing Services contract opportunity. The attestation must be completed and signed by an officer or representative of any entity submitting a bid, proposal, or reply to this contract, which involves access to Personal Identifying Information as defined under Florida Administrative Code Rule 60A-1.020. The form requires the bidding entity to attest under penalties of perjury that it 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 hold a Controlling Interest in the entity.
The attestation form serves as a compliance document for the regional ATMS project, which is a FEMA-funded initiative procuring engineering design and continuing services on an as-needed basis in accordance with Florida Statute 287.055 (Consultant's Competitive Negotiation Act) and 2 CFR Part 200. The City intends to make multiple awards to establish a pool of qualified engineering firms to provide ongoing support for system design, construction coordination, fiber communication installation, and related professional services across Sarasota and surrounding jurisdictions. Completion and execution of this attestation by the designated representative is a mandatory prerequisite for bid submission and contract eligibility.
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Text version
PUR 1355 (10/23) Page 1 of 1 Rule 60A-1.020, F.A.C.
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.
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:
APPENDIX B
https://www.flrules.org/gateway/RuleNo.asp?title=GENERAL%20REGULATIONS&ID=60A-1.020
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File details come from the government source that posted it. Updated .