Attachment L, PUR1355 Foreign Country of Concern Attestation.pdf
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- Attached to
- Natural Gas Supply ITB
- Solicitation number
- ITB-13699
- Issued by
- Leon County, Florida
About this file
This document is a Foreign Country of Concern Attestation form (PUR 1355) from the Florida Administrative Code (Rule 60A-1.020, F.A.C.), required for entities submitting bids, proposals, or contracts with a Governmental Entity that would provide access to Personal Identifying Information. The form requires an officer or representative of the bidding entity to attest that their organization is not owned by, organized under the laws of, or principally located in a Foreign Country of Concern, and that such a government does not have a controlling interest in the entity.
The attestation form is a standard compliance document designed to ensure that contractors doing business with governmental entities meet specific national security and data protection requirements. By signing the document under penalties of perjury, the representative affirms the truthfulness of their statements regarding the entity's ownership, organizational structure, and potential foreign government connections. The form is part of a broader regulatory framework aimed at protecting sensitive government information and maintaining security standards for contractors.
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Text version
PUR 1355 (10/23) Page 1 of 1 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:
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.
Attachment L 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 .