RFP_10925_Attachment_L.pdf

This document is a Foreign Country of Concern Attestation form (PUR 1355) issued under Rule 60A-1.020, F.A.C., intended for use by governmental entities in Florida. The form requires an officer or representative of an entity submitting a bid, proposal, or entering into a contract with a Governmental Entity to certify that their organization is not owned by, organized under the laws of, or controlled by the government of a Foreign Country of Concern, particularly when the contract would grant access to personal identifying information.

The attestation is a sworn declaration made under penalties of perjury, where the entity affirms its independence from foreign government ownership or control. The form provides spaces for the entity's name, printed name of the authorized representative, their title, signature, and date of execution. This document appears to be a standard compliance requirement to ensure transparency and security in governmental contracting, specifically addressing potential foreign government influences in business transactions with state entities.