PUR 1355.docx
DOCX document 31 KB Posted
- Solicitation number
- ITB-16168
- 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 the District-Wide Maintenance of Mitigation Sites and Stormwater Ponds competitive sealed bid procurement. All bidders submitting proposals for this services contract must complete and sign this attestation form, declaring under penalty of perjury that their entity is not owned by, organized under the laws of, nor has its principal place of business in a Foreign Country of Concern, and that no foreign government of concern holds a controlling interest in the entity. Bidders must be registered in Florida's MyFloridaMarketplace system, and out-of-state corporations, limited liability companies, and limited partnerships must be authorized to do business in Florida. All bidders must possess proper licensing from the Florida Department of Business and Professional Regulation if required for the services being provided.
The attestation form is a mandatory compliance document that does not address pricing terms, set-asides, or funding details. Bidders should note that communication restrictions apply between the solicitation release and 72 hours following the agency's notice of intended award, excluding weekends and state holidays, with any prohibited contact potentially resulting in bid rejection. All payments to vendors from this competitive solicitation will be subject to the MyFloridaMarketplace transaction fee. Prospective bidders can register at https://vendor.myfloridamarketplace.com/ or contact the registration line at (866) 352-3776 for assistance.
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Other files
| File | Type | Posted |
|---|---|---|
| ADDENDUM #1.pdf | ||
| ITB Complete Package.pdf | ||
| Affidavit Regarding Labor and Services.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 .