Attachment J - PUR 1355 Foreign Country of Concern Attestation.pdf
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- Attached to
- Contact Center Services RFP
- Solicitation number
- RFP-14821
- Issued by
- Florida
About this file
This is a Foreign Country of Concern Attestation form (PUR 1355) required by the Florida Department of Management Services for the Contact Center Services RFP (No. 26-83111500-RFP). 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 that would grant the entity access to an individual's Personal Identifying Information. The form requires the submitting entity to certify under penalties of perjury 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 attestation must be signed and dated by an authorized representative, with printed name and title included.
The attestation is governed by Rule 60A-1.020, F.A.C., and represents a mandatory compliance requirement for all respondents to the statewide Contact Center Services term contract. This requirement reflects Florida's policy to restrict contract opportunities from entities with foreign government ownership or control, particularly relevant given the contact center services will involve handling sensitive personal identifying information for multiple state agencies. Vendors must submit this completed attestation as part of their overall proposal package through the MyFloridaMarketPlace Sourcing Event via the SAP Business Network.
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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
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