RFP10858_L_ ForeignCountry_Attestation.pdf

PDF 106 KB Posted

Attached to
Detention screening and intake services at the Broward Juvenile Assessment Center
Solicitation number
RFP-10319
Issued by
Broward County, Graceville City, Florida

About this file

Written by GovTribe AI ·

This document is a Foreign Country of Concern Attestation form (PUR 1355) required for entities submitting a bid, proposal, or reply to, or entering into, renewing, or extending, a contract with a Governmental Entity in Florida. 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 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. The entity must sign the form under penalties of perjury, declaring that the stated facts are true.

This attestation is likely required as part of a broader state or local government contract opportunity, though the specific contract details are not provided in this document.

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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 .