Form No. 7PUR_1355_Attestation.docx
DOCX document 31 KB Posted
- Solicitation number
- ITB-11877
- Issued by
- Volusia County, Florida
About this file
This document is a Foreign Country of Concern Attestation form (Form No. 7PUR_1355_Attestation.docx) associated with a Florida Department of Transportation (FDOT) District Five solicitation for 2-GB broadband internet service. The contract seeks qualified proposers to provide high-speed internet service to the District Five District Office located in DeLand, Florida, with price proposals due no later than March 25, 2025, at 10:00am. 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 specific requirements for bidder compliance, including licensing through the Florida Department of Business and Professional Regulation and adherence to numerous civil rights and non-discrimination statutes. The contract will be subject to a 1% MyFloridaMarketplace (MFMP) transaction fee, and bidders are prohibited from contacting agency employees about the solicitation between its release and 72 hours after the notice of intended award. All bidders must complete the Foreign Country of Concern Attestation, certifying that their entity is not owned, organized, or controlled by a foreign government of concern, and must ensure meaningful access for persons with limited English proficiency.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Form No. 7PUR_1355_Attestation.docx | DOCX document | |
| QA 4 INTS.pdf | ||
| DOT-ITB-25-5011-INTS Complete.pdf | ||
| Q&A 2 INTS.pdf | ||
| Add 2 INTS Complete.pdf | ||
| Q&A 1 INTS.pdf | ||
| Add 1 INTS.pdf | ||
| Add 3 INTS.pdf | ||
| QA 3 INTS TVP.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 .