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

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Attached to
Mail Services V2
Solicitation number
RFP-11858
Issued by
Leon County, Florida

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This document is a Foreign Country of Concern Attestation form (PUR 1355) used by the State of Florida for government procurement processes. The form requires an officer or representative of an entity submitting a bid, proposal, or contract to certify that their organization is not owned by, organized under the laws of, or controlled by a government of a Foreign Country of Concern, particularly when the contract would provide access to personal identifying information.

The attestation must be signed under penalties of perjury, with the signatory providing their printed name, title, signature, and date of execution. The form is associated with Rule 60A-1.020 of the Florida Administrative Code and is designed to ensure transparency and security in government contracting by preventing potential foreign government interference or control in state procurement processes. The document provides a standardized template for entities to declare their independence from foreign government ownership or control when seeking to enter into, renew, or extend contracts with governmental entities in Florida.

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

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: ___________________ 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 .