Attachment K - PUR 1355 Foreign Country of Concern Attestation.pdf
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- Attached to
- Data Management Tools RFP State and local contract opportunity
- Solicitation number
- RFP-12390
- Issued by
- Florida
About this file
Attachment K is a Foreign Country of Concern Attestation form issued by the Florida Department of Management Services, specifically for the Data Management Tools Request for Proposal (RFP No. 25-43232300-RFP). The form requires an officer or representative of an entity submitting a bid, proposal, or contract to attest that their organization is not owned by, organized under the laws of, or principally located in a Foreign Country of Concern, and that such a government does not have a controlling interest in the entity. The attestation must be signed under penalties of perjury, with the signatory declaring that the statements made are true.
The form is part of a comprehensive procurement process for statewide data management solutions, which includes mandatory certifications addressing international business conduct and vendor compliance. By requiring this attestation, the Florida Department of Management Services aims to ensure that contractors do not have significant ties to countries that might pose potential security or operational risks. The form is a standard component of the solicitation documents for the Data Management Tools RFP, which seeks vendors across four service categories and has an anticipated contract start date upon execution, with proposals due on June 10, 2025.
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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.
_______________________________________ 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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