RFP_10888_Attachment L_PUR_1355_Attestation.pdf
PDF 106 KB Posted
- Attached to
- Statewide Compliance Monitoring
- Solicitation number
- RFP-10730
- Issued by
- Leon County, Florida
About this file
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 attestation requires the entity to certify that it is not owned by, organized under the laws of, or 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 entity must sign the form under penalties of perjury, affirming that the facts stated are true.
The form does not provide any details about a specific contract opportunity. It is a standard attestation required by the State of Florida to ensure that entities with access to Personal Identifying Information are not under the control or influence of a Foreign Country of Concern.
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Text version
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
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