RFP_10875_Att L PUR_1355.pdf

106 KB Posted

Attached to
PROB-Juvenile Sexual Offender Evaluation and Treatment Services-Statewide
Solicitation number
RFP-10225
Issued by
Leon County, Florida

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This document is a Foreign Country of Concern Attestation form (PUR 1355) that must be completed by 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. The form requires the entity to attest that it 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. The form must be signed under penalties of perjury.

The document outlines the requirements for entities to provide this attestation in order to contract with a Governmental Entity in the state. It does not provide any information about a specific contract opportunity, but rather establishes the general requirements for such attestations.

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Other files

File Type Posted
RFP_10875_Addendum_2.pdf PDF
RFP_10875_Att Q Proposal-Verification.pdf PDF
RFP_10875_Att N Intent Submit Proposal.pdf PDF
RFP_10875_Informational_Notice_1.pdf PDF
RFP_10875_Probation_Notice_of_Agency_Decision.pdf PDF
RFP_10875_Addendum_1.pdf PDF
RFP_10875_FINAL.pdf PDF
RFP_10875_Att S Certifications.pdf PDF

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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 .