PUR1355.pdf

This is a Foreign Country of Concern Attestation form (PUR 1355) issued under Florida Administrative Code Rule 60A-1.020, required for entities bidding on or entering into contracts with the Florida Department of Transportation, District 4, for the Districtwide Office of Modal Development Special Projects Communication & Outreach solicitation. The attestation must be completed by an officer or representative of any bidding entity that would receive access to Personal Identifying Information through the contract. All prospective bidders, proposers, and respondents must be registered in Florida's MyFloridaMarketplace system prior to submission. For out-of-state corporations, limited liability companies, and limited partnerships providing services, authorization to conduct business in Florida is required through the Florida Department of State. Additionally, all bidders must maintain proper licensure from the Florida Department of Business and Professional Regulation if the services being provided require state licensing. Communication regarding the solicitation between interested parties and state employees or officers is restricted during the 72-hour period following the agency's posting of the notice of intended award, excluding weekends and state holidays, with written communication to the procurement officer being the sole exception.

The attestation form requires the bidding entity to declare under penalties of perjury that it is not owned by the government of 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 no Foreign Country of Concern government maintains a Controlling Interest in the entity. The completed form must include the printed name, title, signature, and date of the authorized representative submitting the attestation. No pricing information, set-asides, funding sources, or contract term details are specified in this attestation document.