FORM 8 - PUR1355 Foreign Country of Concern Attestation.docx

DOCX document 33 KB Posted

Attached to
Operation and Management of Contractor-Operated Correctional Facilities – Moore Haven CF
Solicitation number
ITN-12041
Issued by
Glades County, Florida

About this file

This document is a Form 8 - PUR1355 Foreign Country of Concern Attestation form used by governmental entities in Florida to verify vendor compliance with state regulations regarding foreign business relationships. The form requires an officer or representative of an entity submitting a bid, proposal, or contract to affirm that their organization is not owned, organized, or controlled by the government of a "Foreign Country of Concern" and does not have its principal place of business in such a country.

The attestation specifically addresses potential restrictions on entities from certain foreign countries accessing personal identifying information through government contracts. By signing the document under penalties of perjury, the representative certifies the truthfulness of their statements regarding the organization's ownership, legal structure, and operational origins. The form is standardized per Rule 60A-1.020 of the Florida Administrative Code and appears to be part of a broader state procurement compliance process designed to protect sensitive information and limit potential foreign government influence in state contracting.

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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 .