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

This is a Foreign Country of Concern Attestation form (PUR 1355) required by the State of Florida, Department of Management Services, for vendors bidding on the Natural Gas Supply ITB V2 state term contract. The attestation form must be completed by an officer or representative of any entity submitting a bid, proposal, or reply to, or entering into, renewing, or extending a contract with a governmental entity that would grant the entity access to an individual's Personal Identifying Information. The form requires the bidder to declare under penalties of perjury that the entity is not owned by the government of a Foreign Country of Concern, is not organized under the laws of a Foreign Country of Concern, does not have its Principal Place of Business in a Foreign Country of Concern, and that the government of a Foreign Country of Concern does not have a Controlling Interest in the entity. The attestation must be signed and dated by an authorized representative of the bidding entity.

This mandatory compliance document is governed by Florida Administrative Code Rule 60A-1.020 and serves as a requirement for participating in the Natural Gas Supply ITB V2 procurement, which seeks to establish a State Term Contract for Natural Gas Supply with potential multiple statewide awards. Bidders are responsible for submitting all required documentation, including this attestation, through the MyFloridaMarketPlace Sourcing Event via SAP Business Network. Questions regarding the solicitation should be directed to Alyssa Wallace, Purchasing Analyst, at (850) 410-2426 or Alyssa.Wallace@dms.fl.gov.