RFP 10912_Attachment L.pdf
PDF 108 KB Posted
- Attached to
- RES-28-Beds-Moderate-Males-MHOS-SAOS-South-C11
- Solicitation number
- RFP-11392
- Issued by
- Miami-Dade County, Florida
About this file
This is Form PUR 1355, a Foreign Country of Concern Attestation form required by the State of Florida (Rule 60A-1.020, F.A.C.) that must be completed by officers or representatives of entities submitting bids, proposals, or replies to governmental contracts that would grant access to personal identifying information. The form requires attestation that the entity is not owned by, organized under the laws of, or principally located in a Foreign Country of Concern, and that no such foreign government has a controlling interest in the entity.
The form requires the representative to declare under penalty of perjury that the statements are true, and includes fields for the representative's printed name, title, signature, and date. This appears to be a mandatory compliance document that must be submitted as part of Attachment L for RFP 10912, though the specific RFP details are not contained within this form.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| RFP 10912_Addendum1.pdf | ||
| 10912_RFP_Final.pdf | ||
| 10912_VBSInfo1_2.14.25.pdf | ||
| RFP 10912_RejectAll_AgencyDecision_2.27.25.pdf | ||
| RFP 10912_Miami_Frequently_Asked_Questions.pdf | ||
| RFP 10912_Inventory.xlsx | XLSX spreadsheet | |
| RFP 10912_Attachment S.pdf | ||
| RFP 10912_Attachment Q_.pdf | ||
| RFP_10912_Attachment N.pdf |
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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 .