Attachment K - PUR 1355.pdf
PDF 106 KB Posted
- Solicitation number
- RFP-10809
- Issued by
- Leon County, Florida
About this file
This is Form PUR 1355, a Foreign Country of Concern Attestation form required by the Florida Department of Management Services for entities submitting bids, proposals, or replies to government contracts that would grant access to personal identifying information. The form is specifically referenced as an attachment (Attachment K) to the Digital Security Solutions RFP No. 24-43230000-RFP-2.
The form requires an officer or representative of the bidding entity to attest under penalty of perjury that their organization is not owned by, organized under the laws of, or principally located in a Foreign Country of Concern. Additionally, they must certify that no Foreign Country of Concern government has a controlling interest in their entity. The form requires the signatory's printed name, title, signature, and date, and references Rule 60A-1.020, F.A.C. for definition of capitalized terms.
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Text version
PUR 1355 (10/23) Page 1 of 1 Rule 60A-1.020, F.A.C.
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.
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 .