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

This is a Foreign Country of Concern Attestation Form (PUR 1355) required by the State of Florida, Department of Management Services, for the Janitorial Services Request for Proposal. The form 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 attestation requires the submitting entity to confirm that it 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 the government of a Foreign Country of Concern does not have a Controlling Interest in the entity. The form must be signed under penalties of perjury by an authorized officer or representative and includes fields for the entity name, printed name, title, signature, and date.

This attestation form is a compliance requirement under Rule 60A-1.020, Florida Administrative Code, applicable to all respondents to the Janitorial Services RFP. Vendors are required to complete and submit this form as part of their proposal package. No pricing information, set-asides, or contract terms are addressed in this document; rather, it serves solely as a certification of compliance with foreign ownership restrictions and eligibility requirements established by Florida law.