Att_L_Foreign_Country_Attestation_.pdf

PDF 106 KB Posted

Attached to
RFP#10769 – Aftercare Resource Navigator Program
Solicitation number
RFP-10627
Issued by
Leon County, Florida

About this file

This document is a Foreign Country of Concern Attestation form (PUR 1355) required by the State of Florida for entities submitting bids, proposals, or replies to, or entering into, renewing, or extending contracts with a Governmental Entity that would grant the entity access to an individual's Personal Identifying Information. The form requires the entity to attest that it 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. The form must be completed and signed by an officer or representative of the entity under penalties of perjury.

The document outlines the legal requirements related to Foreign Countries of Concern for entities seeking to contract with a Governmental Entity in the State of Florida. It does not provide any details about a specific contract opportunity or solicitation.

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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.

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:

https://www.flrules.org/gateway/RuleNo.asp?title=GENERAL%20REGULATIONS&ID=60A-1.020

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