RFP_10925_Attachment_L.pdf
PDF 109 KB Posted
- Solicitation number
- RFP-13398
- Issued by
- Leon County, Florida
About this file
This document is a Foreign Country of Concern Attestation form (PUR 1355) used in state and local government contracting, specifically aligned with Rule 60A-1.020 of the Florida Administrative Code. The form requires an officer or representative of an entity submitting a bid, proposal, or entering a contract with a governmental entity to attest that their organization is not owned, organized, or controlled by the government of a "Foreign Country of Concern".
The attestation requires the entity to declare under penalties of perjury that they are not owned by a foreign government, not organized under foreign laws, do not have their principal place of business in a foreign country of concern, and that no foreign government has a controlling interest in the entity. The form provides space for the authorized representative's printed name, title, signature, and date of execution, serving as a legal certification of the entity's status with respect to foreign government ownership or control.
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Other files
| File | Type | Posted |
|---|---|---|
| RFP_10925_Attachment_Q.pdf | ||
| RFP_10925_Attachment N.pdf | ||
| RFP_10925 Addendum 2.pdf | ||
| RFP_10925_AttachmentS.pdf | ||
| RFP_10925_Notice_of_Agency_Decision.pdf | ||
| RFP_10925_Informational_Notice 3.pdf | ||
| RFP_10925_Addendum_1.pdf | ||
| RFP_10925.pdf | ||
| RFP_10925_Informational_Notice_1.pdf | ||
| RFP_10925_Informational_Notice_2.pdf | ||
| 10925_Attachment_I_Treatment Modality.docx | DOCX document | |
| 10925_AttachmentJ_Price Sheet.docx | DOCX document |
Show all 12
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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 .