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

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Attached to
Motor Vehicles ITB
Solicitation number
ITB-15031
Issued by
Leon County, Florida

About this file

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 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 access to an individual's Personal Identifying Information. The attestation requires the bidding entity to certify under penalties of perjury 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 that the government of a Foreign Country of Concern does not have a Controlling Interest in the entity. The form requires completion of entity name, printed name of the signatory officer or representative, title, signature, and date of execution.

The Foreign Country of Concern Attestation is one of several mandatory responsive certifications and compliance requirements that bidders must submit as part of their bid package for the statewide term contract for the supply of new and unused motor vehicles across seven categories. Capitalized terms and definitions referenced in the form are ascribed in Rule 60A-1.020, Florida Administrative Code, which governs vendor eligibility and procurement compliance standards. This certification requirement ensures that awarded contractors maintaining access to sensitive state information meet security and independence standards established by the State of Florida.

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Text version

PUR 1355 (10/23) Page 1 of 1 Rule 60A-1.020, F.A.C.

Attachment L

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 .