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This is a Foreign Country of Concern Attestation form (PUR 1355) required by the State of Florida for entities submitting bids or proposals to the Florida Department of Transportation for a Data Network Structured Cabling System procurement for District 4 and District 6 Materials & Research Office. The attestation must be completed by an officer or representative of any bidder, proposer, or respondent seeking to enter into, renew, or extend a contract with a governmental entity that would grant access to an individual's Personal Identifying Information. Under penalties of perjury, the signatory must declare that the 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 Country of Concern government holds a Controlling Interest in the entity.

All bidders, proposers, and respondents must be registered in Florida's MyFloridaMarketplace system prior to submission. Out-of-state corporations, limited liability companies, and limited partnerships providing services must be authorized to do business in Florida, and any entity providing services requiring individual licensure must be properly licensed by the Florida Department of Business and Professional Regulation. Respondents are prohibited from contacting state employees or officers regarding the solicitation between its release and 72 hours following the agency's posting of the notice of intended award, excluding weekends and state holidays, except through written communication to the procurement officer as specified in the solicitation documents. Violation of this blackout period may result in rejection of the response.

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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:

https://www.flrules.org/gateway/RuleNo.asp?title=GENERAL%20REGULATIONS&ID=60A-1.020

File details come from the government source that posted it. Updated .