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 an attestation form (PUR 1355) required by the Florida Department of Management Services for the Contact Center Services RFP (26-83111500-RFP). The form must be completed and signed by an officer or representative of any entity submitting a bid or proposal for a contract that would grant access to an individual's Personal Identifying Information. The attestation confirms that the responding 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 the government of a Foreign Country of Concern does not have a Controlling Interest in the entity. The form requires the printed name, title, signature, and date of the authorizing official and must be submitted under penalties of perjury.
This attestation is a mandatory compliance requirement for all respondents to the statewide Contact Center Services RFP. Proposals are due by 10:00 AM Eastern Time on March 17, 2026, with a public proposal opening at 11:00 AM the same day. The attestation form must be completed in accordance with Rule 60A-1.020, F.A.C., and serves as a prerequisite for proposal responsiveness. Failure to submit this form or providing false information may result in proposal rejection or disqualification from the procurement process.
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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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