PUR 1355.docx
DOCX document 31 KB Posted
- Solicitation number
- ITB-12728
- Issued by
- Hillsborough County, Florida
About this file
The document PUR 1355.docx is a Foreign Country of Concern Attestation form for a state or local government procurement process, specifically designed for entities submitting bids, proposals, or entering contracts that would provide access to personal identifying information. The form requires an officer or representative to certify that their organization is not owned, organized, or controlled by the government of a Foreign Country of Concern, as defined in Rule 60A-1.020, F.A.C.
The attestation form is a compliance document that requires the bidding entity to declare under penalties of perjury that they meet specific ownership and operational criteria related to foreign government involvement. The form includes fields for the entity's name, printed name of the authorized representative, their title, signature, and date of execution. This document appears to be part of a broader effort to ensure that contractors do not have significant ties to potentially problematic foreign governments when accessing sensitive personal information through government contracts.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| EXHIBIT A SCOPE OF SERVICES - Revised.pdf | ||
| Exhibit C - Bid Sheet - Revised.pdf | ||
| Addendum #1.pdf | ||
| Invitation to Bid Package.pdf | ||
| Invitation to Bid Package.pdf | ||
| PUR 1355.docx | DOCX document |
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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 .