RFP_10924_Attachment L_Final.pdf
PDF 87 KB Posted
- Solicitation number
- RFP-13886
- Issued by
- Citrus County, Florida
About this file
This document is a Foreign Country of Concern Attestation form (PUR 1355) used by governmental entities in Florida, specifically referencing Rule 60A-1.020, F.A.C. The form is required for any entity submitting a bid, proposal, or contract that would grant access to an individual's Personal Identifying Information. The attestation requires an officer or representative to certify that their organization is not owned by, organized under the laws of, or principally located in a Foreign Country of Concern, and that no such government has a controlling interest in the entity.
The form is a legal declaration made under penalties of perjury, with spaces provided for the entity representative to print their name, title, and provide a signature and date. Its primary purpose is to ensure that governmental contracts do not involve entities with significant connections to designated foreign countries of concern, thereby protecting sensitive personal information and maintaining national security protocols within governmental procurement processes.
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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 .