Attachment I, PUR 1355 Foreign Country of Concern Attestation.pdf
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- Attached to
- Management Consulting Services RFP V2 State and local contract opportunity
- Solicitation number
- RFP-12253
- Issued by
- Orange County, Orlando City, Florida
About this file
This document is a Foreign Country of Concern Attestation (PUR 1355) form issued by the Florida Department of Management Services, specifically designed for entities submitting bids, proposals, or entering contracts that would grant access to Personal Identifying Information. The form requires an officer or representative of the bidding entity to certify that the organization is not owned by, organized under the laws of, or principally located in a Foreign Country of Concern, and that no foreign government has a controlling interest in the entity.
The attestation must be signed under penalties of perjury, with the signatory declaring the truthfulness of the statement. The form is tied to Rule 60A-1.020 of the Florida Administrative Code and is a mandatory component of the Management Consulting Services RFP (No. 25-80101500-RFP-V2). By completing this document, vendors demonstrate compliance with state procurement regulations regarding foreign ownership and potential security risks associated with international business entities seeking to do business with the State of Florida.
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Text version
ATTACHMENT I
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
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