PUR1355.docx

This is a Foreign Country of Concern Attestation form (PUR 1355) issued by the State of Florida for use in the Florida Department of Transportation District Four's procurement of District Wide Title Search and Examination Services. Bidders and proposers must complete and submit this attestation form as part of their response to Request for Proposal DOT-RFP-27-4001-CO. The form requires an officer or representative of the entity to attest under penalties of perjury that the entity is not owned by a Foreign Country of Concern government, 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 the government of a Foreign Country of Concern does not have a Controlling Interest in the entity. The attestation must be signed and dated by an authorized representative with printed name and title provided.

The form applies to all entities seeking to enter into, renew, or extend contracts with the State of Florida that would grant access to an individual's Personal Identifying Information. The definitions of capitalized terms, including "Foreign Country of Concern," are established under Rule 60A-1.020, Florida Administrative Code. This attestation requirement is a mandatory compliance document for the title search and examination services contract, which carries a maximum budgetary limitation of $1,050,000 and an anticipated term through August 13, 2031, with potential renewal for up to three additional years.