Attachment K, PUR 1355 Foreign Country of Concern Attestation.pdf
PDF 110 KB Posted
- Attached to
- Mail Services V2
- Solicitation number
- RFP-11858
- Issued by
- Leon County, Florida
About this file
Attachment K is a Foreign Country of Concern Attestation form issued by the Florida Department of Management Services (DMS) for the Mail Services V2 procurement. The form is a mandatory certification required for entities submitting bids, proposals, or entering contracts that would grant access to Personal Identifying Information, specifically attesting that the bidding entity is not owned, controlled, or principally located in a "Foreign Country of Concern" as defined in Rule 60A-1.020, F.A.C.
The attestation form requires an authorized company representative to declare under penalties of perjury that their organization meets specific criteria regarding ownership, business organization, and control, ensuring no substantial connection to designated foreign countries of concern. This document is part of a broader procurement process for a statewide Mail Services State Term Contract, which aims to establish multiple vendor awards across mail processing, courier, and on-site staffing service categories, with strict requirements around vendor eligibility, international business restrictions, and compliance with state procurement regulations.
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Text version
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
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