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 procurement. The form must be completed by an officer or representative of any entity submitting a bid or proposal for this contract, which grants access to personal identifying information. The attestation certifies that the bidding entity 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 no Foreign Country of Concern government holds a controlling interest in the entity. The form requires the signatory to declare under penalties of perjury that the statements are true and must include the printed name, title, signature, and date of the authorizing officer or representative.
This attestation is a mandatory compliance document for the Sarasota ATMS continuing services contract, which is federally funded through the Federal Emergency Management Agency and subject to 2 CFR Part 200 requirements. The form is part of Appendix B of the solicitation materials and is based on Rule 60A-1.020, Florida Administrative Code, which establishes foreign ownership restrictions for entities accessing personal identifying information in state and local government contracts. Bidders must complete and submit this form as part of their proposal to demonstrate compliance with Florida's foreign country of concern restrictions prior to contract award.
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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 .