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 is Form PUR 1355, a Foreign Country of Concern Attestation form required by the Florida Department of Juvenile Justice (DJJ) as part of RFP 10888 for Statewide Compliance Monitoring services in Leon County, Florida. The form must be completed by any officer or representative of an entity submitting a bid, proposal, or reply, or entering into, renewing, or extending a contract with a Governmental Entity that would grant access to personal identifying information.
The form requires the signing entity to attest that they are not owned by the government of a Foreign Country of Concern, are not organized under such laws, do not have their principal place of business in such a country, and that no Foreign Country of Concern has a controlling interest in the entity. The form must be signed under penalty of perjury and requires the signatory's printed name, title, signature, and date. The form is governed by Rule 60A-1.020, F.A.C.
View the file
Other files
Show all 14
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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
File details come from the government source that posted it. Updated .