RFP_11110_Attachment L.pdf
PDF 78 KB Posted
- Attached to
- RES-28-Beds-Moderate-Females-IMH-South-C20
- Solicitation number
- RFP-17340
- Issued by
- Leon County, Florida
About this file
This is an attestation form (PUR 1355) required by the State of Florida under Rule 60A-1.020, F.A.C., for entities submitting bids, proposals, or replies to governmental entities, or entering into, renewing, or extending contracts that would grant access to Personal Identifying Information. The form requires a sworn statement from an officer or representative of the bidding entity confirming compliance with foreign ownership restrictions under Florida Administrative Code.
The attestation requires the entity to declare under penalties of perjury that the entity is not owned by a government of a Foreign Country of Concern, is not organized under the laws of a Foreign Country of Concern, does not have its Principal Place of Business in a Foreign Country of Concern, and that no Foreign Country of Concern government maintains a Controlling Interest in the entity. The form requires the signatory to provide printed name, title, signature, and date. This form is a compliance document with no pricing terms, set-asides, or contract performance details.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| RFP_11110_Exhibit_8.pdf | ||
| RFP_11110_Final.pdf | ||
| RFP_11110_Attachment_S.pdf | ||
| RFP_11110_Attachment_Q.pdf | ||
| RFP_11110_Attachment_N.pdf | ||
| RFP_11110_Exhibit_9.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 .