Form PUR 1355.pdf
PDF 38 KB Posted
- Solicitation number
- ITN-10750
- Issued by
- Hillsborough County, Florida
About this file
This document is a form titled "Foreign Country of Concern Attestation (PUR 1355)" related to a state and local contract opportunity for Rapid Incident Scene Clearance (RISC) Services for District Seven in Florida. The Florida Department of Transportation, District 7, is requesting competitive sealed replies for these RISC services. All prospective repliers must be registered in the State of Florida's MyFloridaMarketplace system and properly licensed if the work requires licensing. Respondents are prohibited from contacting any state employees regarding this solicitation, except in writing to the procurement officer. The contract will be subject to a MFMP Transaction Fee, and respondents must complete a Vendor Certification Regarding Scrutinized Companies Lists. The contract will also require compliance with Title VI of the Civil Rights Act of 1964 and other nondiscrimination statutes.
The solicitation requires respondents to attest that the entity submitting the response is not owned by, organized under, or controlled by the government of a "Foreign Country of Concern." Pricing details, set-asides, incumbents, funding sources, and other financial information were not provided in the given documents.
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Other files
| File | Type | Posted |
|---|---|---|
| DOT-ITN-25-7007-EG - ITN PACKAGE.pdf | ||
| TQ&A - 11-5-2024 - REVISED.pdf | ||
| TECHNICAL QUESTIONS AND ANSWERS.pdf | ||
| ADDENDUM #1.pdf | ||
| ADDENDUM #4.pdf | ||
| Form PUR 1355.pdf | ||
| ADDENDUM #2.pdf | ||
| TECHNICAL QUESTIONS AND ANSWERS - 11-5-2024.pdf | ||
| ADDENDUM #3.pdf |
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Text version
PUR 1355 (10/23) Page 1 of 1 Rule 60A-1.020, F.A.C.
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:
File details come from the government source that posted it. Updated .