Foreign Country of Concern Attestation.docx
DOCX document 31 KB Posted
- Solicitation number
- RFP-12486
- Issued by
- Hillsborough County, Florida
About this file
The document is a "Foreign Country of Concern Attestation" form (PUR 1355) used by governmental entities in Florida to verify the origins and ownership status of entities submitting bids, proposals, or entering contracts that would provide access to personal identifying information. The form requires an officer or representative to declare that their organization is not owned by, organized under the laws of, or principally located in a Foreign Country of Concern, and that such a foreign government does not hold a controlling interest in the entity.
The attestation is a compliance document that serves as a legal declaration under penalties of perjury, designed to ensure transparency and security in government contracting. While the document does not specify a particular procurement opportunity, it is a standard form (Rule 60A-1.020, F.A.C.) that aims to protect sensitive information and mitigate potential risks associated with entities from countries deemed of concern. The form requires the declarant to provide their printed name, title, signature, and date of attestation.
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Other files
| File | Type | Posted |
|---|---|---|
| Request for Proposal Packet.pdf | ||
| Exhibit C - Price Proposal - Corrected.pdf | ||
| Exhibit C - Price Proposal - Correction #2.pdf | ||
| Exhibit A - Scope of Services - Corrected.pdf | ||
| Bid Opportunity List.doc | DOC document | |
| Addendum #3.pdf | ||
| Addendum #1 Exhibit C Price Proposal.pdf | ||
| Addendum #2.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 .