Foreign Country Attestation (PUR 1355).docx
DOCX document 31 KB Posted
- Attached to
- Fiber Optic Cabling
- Solicitation number
- ITB-15072
- Issued by
- Hillsborough County, Florida
About this file
This is a Foreign Country of Concern Attestation form (PUR 1355) required by the Florida Department of Transportation for vendors bidding on a fiber optic cabling procurement. 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 access to an individual's Personal Identifying Information. Bidders must affirm under penalties of perjury that their entity is not owned by the government of 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 the government of a Foreign Country of Concern does not have a Controlling Interest in the entity.
All prospective bidders must register in the State of Florida's MyFloridaMarketplace system prior to submitting bids. Out-of-state corporations, limited liability companies, and limited partnerships must be authorized to do business in Florida. Bidders providing services that require individual licensure must be properly licensed by the Florida Department of Business and Professional Regulation. Additionally, respondents and their representatives are prohibited from contacting any employee or officer of the executive or legislative branch concerning the solicitation between the release date and the end of a 72-hour period following the agency's posting of the notice of intended award, excluding Saturdays, Sundays, and state holidays, except in writing to the procurement officer as provided in solicitation documents. All payments resulting from this competitive solicitation are subject to the MyFloridaMarketplace Transaction Fee.
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Other files
| File | Type | Posted |
|---|---|---|
| Invitation to Bid Complete Package.pdf |
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Text version
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:
PUR 1355 (10/23) Page 1 of 1 Rule 60A-1.020, F.A.C.
File details come from the government source that posted it. Updated .