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

110 KB Posted

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

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Attachment K is a Foreign Country of Concern Attestation form issued by the Florida Department of Management Services for the Mail Services V2 procurement (PUR 1355). The form requires an officer or representative of an entity submitting a bid, proposal, or contract to certify that the organization is not owned by, organized under the laws of, or controlled by the government of a Foreign Country of Concern. This attestation is specifically required for contracts that would grant the entity access to an individual's Personal Identifying Information.

The form must be signed under penalties of perjury, with the signatory declaring the truthfulness of the statement. It is part of the broader Mail Services V2 solicitation, which aims to establish a statewide State Term Contract for mail-related services. The attestation serves as a critical compliance document ensuring that vendors participating in the state procurement process do not have significant foreign governmental connections that could potentially compromise information security or create conflicts of interest.

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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 .