Attachment P - PUR1355 Foreign Country of Concern Attestation.pdf

This is a Foreign Country of Concern Attestation form (PUR 1355) required by the State of Florida under Rule 60A-1.020, F.A.C. The form must be completed and signed by an officer or authorized representative of any entity submitting a bid, proposal, or reply to a state contract, or entering into, renewing, or extending a contract with a Florida governmental entity. The attestation serves as a certification mechanism for state procurement activities and does not address specific products, services, project scopes, quantities, timelines, or contract terms.

The form requires the signing officer to declare under penalties of perjury that the contracting entity is not owned by 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 no foreign country of concern maintains a controlling interest in the entity. The form requires basic identifying information including contractor name, printed name of signatory, title, signature, and date of signature. No pricing, funding sources, set-asides, or other financial terms are addressed in this attestation document.