Form No. 7PUR_1355_Attestation.docx

DOCX document 31 KB Posted

Attached to
2-GB Broadband Internet Service for the District Five District Office
Solicitation number
ITB-11877
Issued by
Volusia County, Florida

About this file

The document is a Foreign Country of Concern Attestation form (Form No. 7PUR_1355_Attestation.docx) related to a Florida Department of Transportation (FDOT) District Five solicitation for broadband internet service. The procurement seeks a 2-GB broadband internet service for the District Five District Office located in DeLand, with price proposals due no later than March 25, 2025, at 10:00am. Prospective bidders must be registered in the State of Florida's MyFloridaMarketplace system and out-of-state corporations must be authorized to do business in Florida.

The solicitation includes several important compliance requirements, including adherence to nondiscrimination statutes across multiple federal regulations, and is subject to a 1% MFMP Transaction Fee. Bidders are prohibited from contacting FDOT employees between the solicitation release and 72 hours after the notice of intended award. All proposers must comply with licensing requirements, and those providing services must be properly licensed by the Florida Department of Business and Professional Regulation. The procurement emphasizes strict communication protocols and comprehensive civil rights compliance, with specific guidelines for discrimination prevention across race, color, national origin, disability, age, and other protected categories.

View the file

Other files

File Type Posted
Form No. 7PUR_1355_Attestation.docx DOCX document
QA 4 INTS.pdf PDF
DOT-ITB-25-5011-INTS Complete.pdf PDF
Q&A 2 INTS.pdf PDF
Add 2 INTS Complete.pdf PDF
Q&A 1 INTS.pdf PDF
Add 1 INTS.pdf PDF
Add 3 INTS.pdf PDF
QA 3 INTS TVP.pdf PDF

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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 .