RFP_10956_Attachment_L.pdf

The document is a Foreign Country of Concern Attestation form (PUR 1355) issued by a Florida governmental entity, designed to be completed by an officer or representative of an entity submitting a bid, proposal, or contract that would grant access to an individual's Personal Identifying Information. The form requires the entity to attest that it is not owned by the government of a Foreign Country of Concern, is not organized under the laws of or has its principal place of business in a Foreign Country of Concern, and that such a government does not have a controlling interest in the entity. The attestation must be signed under penalties of perjury, with the signatory declaring the truthfulness of the statement.

The form is part of Rule 60A-1.020, F.A.C. and provides a standardized method for entities to confirm their independence from foreign government ownership or control when engaging in governmental contracts. It includes fields for the printed name, title, signature, and date of the authorized representative making the attestation. The document is designed to ensure transparency and mitigate potential security risks associated with foreign government-affiliated entities accessing sensitive personal information in governmental contract processes.