PUR1355.pdf

This is a Foreign Country of Concern Attestation form (PUR 1355) required by the Florida Department of Transportation for competitive sealed bids, proposals, or replies related to a Districtwide Fencing procurement for FDOT District Four. The form must be completed by an officer or representative of any entity submitting a bid or proposal that would grant the entity access to an individual's Personal Identifying Information under the requirements of Rule 60A-1.020, F.A.C. All bidders, proposers, and respondents must be registered in Florida's MyFloridaMarketplace system prior to submission. For services contracts, out-of-state corporations, limited liability companies, and limited partnerships must be authorized to do business in Florida, and all bidders must maintain proper licensing if required by the Florida Department of Business and Professional Regulation.

The attestation 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 the government of a Foreign Country of Concern does not have a Controlling Interest in the entity. The form must be signed by an authorized officer or representative with printed name, title, and date. Florida Statutes Section 287.057(23) prohibits respondents and their representatives from contacting executive or legislative branch employees or officers regarding the solicitation between the release date and 72 hours following the agency's posting of the notice of intended award, excluding weekends and state holidays, except in writing to the procurement officer.