PUR 1355.docx

DOCX document 31 KB Posted

Attached to
District-Wide Mobile Detailing Services
Solicitation number
ITB-15609
Issued by
Hillsborough County, Florida

About this file

This is a Foreign Country of Concern Attestation form (PUR 1355) required by the Florida Department of Transportation for bidders seeking to provide district-wide mobile detailing services. The attestation must be completed by an authorized officer or representative of any entity submitting a bid, proposal, or response to this solicitation that would grant access to personal identifying information. All bidders must be registered in the State of Florida's MyFloridaMarketplace system prior to submission, and out-of-state corporations, limited liability companies, and limited partnerships must be authorized to do business in Florida. Additionally, bidders must obtain proper licensing from the Florida Department of Business and Professional Regulation if required by their business category. The solicitation is subject to Florida Statutes section 287.057(23), which prohibits respondents or their representatives from contacting state employees or officers regarding the solicitation between the release date and 72 hours following the agency's notice of intended award, excluding weekends and state holidays.

The attestation form requires the bidder to declare under penalties of perjury that the entity is not owned by a foreign country of concern, is not organized under the laws of a foreign country of concern, does not have its principal place of business in a foreign country of concern, and that a foreign country of concern does not hold a controlling interest in the entity. Capitalized terms used in this attestation are defined in Rule 60A-1.020, F.A.C. All payments to vendors awarded through this competitive solicitation are subject to the MyFloridaMarketplace transaction fee. The form must be signed and dated by the authorized representative and submitted as part of the bid package.

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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 .