10834_Attachment L.pdf
PDF 106 KB Posted
- Attached to
- 10834 - PREV - Mentoring Services
- Solicitation number
- RFP-10478
- Issued by
- Leon County, Florida
About this file
The 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 which would grant the entity access to an individual's Personal Identifying Information. The entity attests that it is not owned by, organized under the laws of, or 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 related state and local contract opportunity is a Request for Proposals (RFP) issued by the Florida Department of Juvenile Justice, Office of Prevention Services, seeking proposals from community organizations, faith-based groups, non-profits, LLCs, and local government entities to develop and implement comprehensive programs focused on preventing juvenile delinquency among youth aged 10 to 17 throughout Florida. The department seeks the implementation and delivery of innovative programming to address juvenile delinquency prevention efforts in high delinquency areas and low performing school districts through evidence-based, promising practices or demonstrated effectiveness that support mentoring services.
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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 .