Appendix_B_Foreign_Country_of_Concern_Attestation.pdf

PDF 678 KB Posted

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 under Rule 60A-1.020, F.A.C., for entities submitting bids, proposals, or replies to contracts that grant access to Personal Identifying Information. The form requires an officer or representative of the bidding entity to attest under penalties of perjury that the entity is not owned by the government of a Foreign Country of Concern, is not organized under the laws of or located 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 attestation must be signed and dated by an authorized representative and include the entity's name, the signatory's printed name and title.

This attestation is required as part of the Advanced Traffic Management System Design Continuing Services procurement for the City of Sarasota, a Consultant's Competitive Negotiation Act (CCNA) solicitation posted January 29, 2026, with proposals due March 24, 2026, at 2:30 p.m. The procurement seeks multiple qualified professional engineering firms to provide continuing design and engineering support for the Regional Advanced Traffic Management System serving the City of Sarasota and Sarasota County on an as-needed basis. The resulting contract will have a one-year initial term with two optional one-year renewal periods, funded through the Federal Emergency Management Agency (FEMA), and requires compliance with extensive federal regulations including Davis-Bacon prevailing wage provisions and debarment certifications. Professional liability insurance of no less than one million dollars is required, and the selected consultant must perform at least 51 percent of total contract work with its own organization.

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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

Name of Entity:
Print Name:
Title:
Date:
Signature5_es_:signer:signature:

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