RFP 10907_Attachment L FINAL.pdf
PDF 61 KB Posted
- Attached to
- RES-63-High/Max-MHOS-SAOS-32-High-BIF-DD-Central-C9 State and local contract opportunity
- Solicitation number
- RFP-12971
- Issued by
- Osceola County, Lake Harbor CDP, Florida
About this file
The document is a Foreign Country of Concern Attestation form (PUR 1355) for use with governmental entities in Florida, specifically aligned with Rule 60A-1.020, F.A.C. The form requires an officer or representative of an entity submitting a bid, proposal, or contract to attest that their organization is not owned by, organized under the laws of, or principally located in a Foreign Country of Concern, and that no foreign government has a controlling interest in the entity. The form must be completed when an entity is seeking a contract that would grant access to an individual's Personal Identifying Information.
The attestation is made under penalties of perjury, with space provided for the printed name, title, signature, and date of the attesting representative. The form is designed to ensure transparency and protect governmental interests by requiring bidders and contractors to disclose and certify their organizational independence from specified foreign governmental influences. It is part of a broader governmental procurement compliance process that aims to safeguard sensitive information and maintain the integrity of state and local contract opportunities.
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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
File details come from the government source that posted it. Updated .