Attachment M, PUR 1355 Foreign Country of Concern Attestation.pdf
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- Attached to
- Agriculture and Lawn Equipment ITB
- Solicitation number
- ITB-16419
- Issued by
- Florida
About this file
This document is an attestation form (PUR 1355) issued by the State of Florida, Department of Management Services, in connection with the Agriculture and Lawn Equipment Invitation to Bid (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 the entity access to an individual's Personal Identifying Information. The attestation requires the bidding entity to declare 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 the signature, printed name, title, and date from an authorized officer or representative of the bidding entity.
The Foreign Country of Concern Attestation form contains no pricing information, set-asides, incumbent details, or funding requirements. Instead, it serves as a compliance and security mechanism to ensure that vendors meeting the contract eligibility criteria do not have foreign government ownership or control, as defined in Rule 60A-1.020, Florida Administrative Code. This attestation is a mandatory compliance document that must be submitted as part of the bidding process for state contracts involving access to personal identifying information.
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Text version
PUR 1355 (10/23) Page 1 of 1 Rule 60A-1.020, F.A.C.
ATTACHMENT M
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
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