Attachment L_PUR_1355.pdf
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- Attached to
- PROB – RFP 10872 - Comprehensive Evaluations and Specialized Add-On Evaluations - - Statewide
- Solicitation number
- RFP-10161
- Issued by
- Leon County, Florida
About this file
This document is the Foreign Country of Concern Attestation (PUR 1355) form required for entities submitting a bid, proposal, or reply to, or entering into, renewing, or extending, a contract with a Governmental Entity in Florida. The form requires the entity to attest that it 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. The form must be completed, signed, and submitted as part of the contracting process with the Governmental Entity.
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Text version
PUR 1355 (10/23) Page 1 of 1 Rule 60A-1.020, F.A.C.
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 .