Attachment J - PUR 1355 Foreign Country of Concern Attestation.pdf
PDF 111 KB Posted
- Attached to
- Productivity Tools (RFP No. 25-43231513-RFP)
- Solicitation number
- RFP-11800
- Issued by
- Leon County, Florida
About this file
The document is a Foreign Country of Concern Attestation form (PUR 1355) for the State of Florida's Department of Management Services, designed to be completed by entities submitting bids, proposals, or entering into contracts that would grant access to personal identifying information. This form requires bidders to attest that they are not owned by, organized under the laws of, or have a principal place of business in a Foreign Country of Concern, and that no foreign government has a controlling interest in the entity.
The attestation form is part of the State of Florida's procurement requirements, specifically for the Productivity Tools Term Contract (RFP No. 25-43231513-RFP). By requiring this declaration, the state aims to ensure that contractors meet specific governance and ownership criteria, protecting the security and integrity of government information systems. The form must be signed under penalties of perjury, with the signatory declaring the truthfulness of the statement, and is a mandatory component of the bidding process for vendors seeking to provide digital productivity solutions to state agencies.
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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
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