Attachment H - Foreign Country of Concern Attestation (PUR 1355).docx

DOCX document 35 KB Posted

Attached to
Public Relations, Advertising, Marketing, and Multimedia Services - 2 State and local contract opportunity
Solicitation number
RFP-08553
Issued by
Leon County, Florida

About this file

This document is an Attachment H - Foreign Country of Concern Attestation (PUR 1355) related to a state and local contract opportunity for Public Relations, Advertising, Marketing, and Multimedia Services - 2 issued by the State of Florida, Department of Management Services. The attestation form must be completed by an entity submitting a bid, proposal, or reply to, or entering into, renewing, or extending a contract with a Governmental Entity that would grant the entity access to an individual's Personal Identifying Information. The entity must attest that it is not owned by, organized under the laws of, nor has its Principal Place of Business 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 contract opportunity is for a wide range of public relations, advertising, marketing, and multimedia services. Interested vendors must submit responses to this solicitation via the MyFloridaMarketPlace Sourcing Event. Protests concerning the agency decision or intended decision must be timely filed with the Agency Clerk. The contract term and any renewal options are not specified in the provided information.

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Text version

Attachment H

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 .