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

This is a Foreign Country of Concern Attestation form (PUR 1355) required by the Florida Department of Management Services for the Natural Gas Supply ITB V2 procurement. The form must be completed and signed 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 access to an individual's Personal Identifying Information. The attestation certifies, 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 form requires the printed name, title, signature, and date of the authorized representative.

This mandatory certification document is governed by Rule 60A-1.020, Florida Administrative Code, and is one of several required compliance documents for bidders responding to the natural gas supply contract opportunity. The form serves as a compliance and eligibility verification mechanism to ensure that bidders meet Florida's requirements regarding foreign ownership and control restrictions for contracts involving access to personal identifying information.