Foreign Country of Concern Attestation.docx
DOCX document 31 KB Posted
- Attached to
- District-Wide MRP, Sign, Guardrail, Boardwalk, Attenuator Inspection and Inventory Support Services
- Solicitation number
- RFP-12066
- Issued by
- Hillsborough County, Florida
About this file
The document is a Foreign Country of Concern Attestation form related to a Florida Department of Transportation (FDOT) contract for District-Wide Maintenance Rating Program (MRP), Sign, Guardrail, Boardwalk, and Attenuator Inspection and Inventory Support Services. The contract will cover Hernando, Hillsborough, Citrus, Pasco, and Pinellas counties, running from July 1, 2025, through June 30, 2029. Vendors will be responsible for comprehensive roadside infrastructure inspections, including MRP evaluations, guardrail and sign inspections, boardwalk assessments, and attenuator inspections. The proposal is due on April 14, 2025, with a public technical proposal opening on the same day and price proposals to be opened on May 5, 2025.
The contract has a total budgetary ceiling of $400,000, with payment based on approved unit rates for specific inspection and inventory services. Proposers must be registered in the State of Florida's MyFloridaMarketPlace system and comply with state licensing requirements. The solicitation encourages Minority Business Enterprise (MBE) participation and requires vendors to demonstrate compliance with civil rights statutes, provide proof of a drug-free workplace, and complete E-Verify compliance. Out-of-state corporations must be authorized to do business in Florida, and all vendors must complete a Foreign Country of Concern Attestation to ensure no significant foreign governmental ties that might compromise contract integrity.
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Other files
| File | Type | Posted |
|---|---|---|
| Request for Proposal Package.pdf | ||
| EXHIBIT A SCOPE OF SERVICES.pdf | ||
| Foreign Country of Concern Attestation.docx | DOCX document | |
| Addendum #1 - Technical Questions.pdf | ||
| ATTACHMENT II - TABLE CHARTS Complete.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 .