Attachment L - PUR 1355 Foreign Country of Concern Attestation Form.pdf

This is a Foreign Country of Concern Attestation Form (PUR 1355) required by the Florida Department of Management Services for the Motor Vehicles Invitation to Bid (ITB No. 25-25100000-ITB). The attestation must be completed by an officer or representative of any entity submitting a bid or proposal for a contract that would grant access to personal identifying information. The form requires bidders to certify under penalties of perjury that their 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 by an authorized representative, include printed name and title, and be dated. This certification is governed by Rule 60A-1.020, F.A.C., and represents a mandatory responsive requirement for all bidders participating in the motor vehicles procurement.

The attestation form serves as a compliance mechanism to ensure that bidders meet Florida's standards regarding foreign government ownership and control. Capitalized terms referenced in the form are defined in Rule 60A-1.020, F.A.C., which establishes the regulatory framework for vendor certifications in state procurement activities. All bidders responding to the Motor Vehicles ITB must submit this completed and signed attestation as part of their bid package. Failure to provide this certification would render a bid non-responsive and ineligible for award consideration.