Attachment K, PUR 1355 Foreign Country of Concern Attestation.docx

33 KB Posted

Attached to
Mail Services
Solicitation number
RFP-10992
Issued by
Florida

About this file

Written by GovTribe AI ·

This is an attestation form (Attachment K, PUR 1355) required by the Florida Department of Management Services for entities submitting bids, proposals, or replies for a Mail Services contract opportunity. The form requires bidding entities to certify that they are not owned by, organized under the laws of, or principally based in a Foreign Country of Concern, and that such foreign countries do not have a controlling interest in the entity.

The form requires the entity's name, and must be completed with a printed name, title, signature, and date from an authorized officer or representative. The document falls under Rule 60A-1.020 of the Florida Administrative Code and requires the signatory to declare the truthfulness of the statements under penalty of perjury.

View the file

Other files

File Type Posted
Attachment H, PUR 1000 (General Contract Conditions).pdf PDF
Attachment I, PUR 7801 Vendor Certification Form.docx DOCX document
Attachment B, Mandatory Responsive Requirements.pdf PDF
Attachment C, Cost Proposal.xlsx XLSX spreadsheet
Attachment A, Scope of Work.pdf PDF
Mail Services RFP.pdf PDF
Attachment J, PUR 1808 Common Carrier or Contracted Carrier Attestation Form.docx DOCX document
Attachment N, Certification of Drug Free Workplace.docx DOCX document
Attachment F, Enterprise Standard Terms and Conditions.pdf PDF
Revised Attachment C, Cost Proposal.xlsx XLSX spreadsheet
Attachment D, Technical Proposal Instructions and Evaluation Criteria.pdf PDF
Attachment M, PUR 2024 Use of Coercion for Labor and Services.docx DOCX document
Attachment G, Public Printing Florida Preference Form.docx DOCX document
Revised Attachment A, Scope of Work.pdf PDF
Attachment K, PUR 1355 Foreign Country of Concern Attestation.docx DOCX document
Attachment L, PUR 2023 Provision of Commodities Produced by Forced Labor.docx DOCX document
Attachment E, Draft Term Contract.pdf PDF
Questions & Answers, Addendum No 1.pdf PDF
Show all 18

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

Attachment K

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: ___________________

PUR 1355 (10/23) Page 1 of 1 Rule 60A-1.020, F.A.C.

File details come from the government source that posted it. Updated .