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

This is a Foreign Country of Concern Attestation form (PUR 1355) required by the State of Florida, Department of Management Services, for vendors participating in the Natural Gas Supply Invitation to Bid (ITB). The attestation 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 form requires the entity to affirm 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 signatory must provide their printed name, title, signature, and date of execution on the form.

This attestation is governed by Rule 60A-1.020, Florida Administrative Code, and serves as a compliance document to ensure that vendors meeting state procurement requirements do not pose national security or data protection concerns related to foreign government involvement or control. The form is a mandatory attachment to the Natural Gas Supply ITB solicitation, with responses required to be submitted through the MyFloridaMarketPlace Sourcing Event via the SAP Business Network. Interested vendors should direct inquiries to John Nordmeyer, Purchasing Analyst Supervisor, at the Division of State Purchasing, or monitor the Vendor Information Portal (VIP) for updates and procurement-related information throughout the bidding process.