Attachment J - PUR 1355 Foreign Country of Concern Attestation.pdf
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- Attached to
- Productivity Tools (RFP No. 25-43231513-RFP)
- Solicitation number
- RFP-11800
- Issued by
- Leon County, Florida
About this file
This document is a Foreign Country of Concern Attestation form (PUR 1355) for a governmental procurement process in Florida, as referenced by Rule 60A-1.020, F.A.C. The form is designed to be completed by an officer or representative of an entity submitting a bid, proposal, or reply to a governmental contract that would provide access to an individual's Personal Identifying Information. The attestation requires the entity to confirm that it is not owned by, organized under the laws of, or principally located in a Foreign Country of Concern, and that no such foreign government has a controlling interest in the entity.
The form serves as a legal declaration made under penalties of perjury, requiring the entity's representative to verify the truthfulness of the statements made. It provides spaces for the entity's name, the representative's printed name, title, signature, and date of signing. The purpose appears to be a security and compliance measure to prevent potential foreign government influence or control in state and local government contracts involving sensitive personal information.
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Text version
PUR 1355 (10/23) Page 1 of 1 Rule 60A-1.020, F.A.C.
Attachment J
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 .