Attachment I, PUR 1355 Foreign Country of Concern Attestation.pdf

This is a Foreign Country of Concern Attestation form (PUR 1355) required by the Florida Department of Management Services for an Invitation to Bid (ITB) for Government Crime Insurance. The attestation must be completed by an officer or representative of any entity submitting a bid, proposal, or reply to, or entering into, renewing, or extending a contract with a Governmental Entity that would grant access to an individual's Personal Identifying Information. The form certifies that the 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 has a Controlling Interest in the entity. The attestation must be executed under penalties of perjury and requires the printed name, title, signature, and date of an authorized representative of the bidding entity.

The Department of Management Services intends to make a single award to the lowest responsive and responsible bidder in accordance with Florida Statutes sections 287.057(1) and 287.022. Responses must be submitted through the MyFloridaMarketPlace Sourcing Event via the SAP Business Network, and vendors are responsible for monitoring the Vendor Information Portal (VIP) throughout the procurement process. The procurement officer is Jill Soderberg, and all inquiries should reference the solicitation number. The Department reserves the right to make no award if determined to be in the best interest of the State. Protests must be filed with the Agency Clerk within the timeframe prescribed in Florida Statutes section 120.57(3), and failure to file a timely protest or post required security constitutes a waiver of proceedings under chapter 120, Florida Statutes.