10913_RFP_Attachment L.pdf
PDF 87 KB Posted
- Attached to
- Department of Juvenile Justice (Department or DJJ) Solicitation # 10913 – RES-Males- 78 beds
- Solicitation number
- RFP-13971
- Issued by
- Palm Beach County, Florida
About this file
This document is a Foreign Country of Concern Attestation form (PUR 1355) governed by Rule 60A-1.020, F.A.C., applicable to governmental entities in Florida. The form requires an officer or representative of an entity submitting a bid, proposal, or contract to a governmental entity to attest that their organization is not owned, organized, or controlled by a government of a Foreign Country of Concern, and will not be granted access to an individual's Personal Identifying Information.
The attestation is a legal declaration made under penalties of perjury, where the representative must confirm the entity's independence from foreign government ownership or control. The form provides spaces for the printed name, title, signature, and date of the attesting individual, serving as a compliance document to ensure transparency and security in governmental contracting processes related to sensitive information access.
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Other files
| File | Type | Posted |
|---|---|---|
| RFP_10913_Addendum.pdf | ||
| 10913_RFP_Attachment_N.pdf | ||
| 10913_RFP_Notice_of_Agency_Decision.pdf | ||
| RFP_10913_Final.pdf | ||
| 10913_Exhibit 8.pdf | ||
| 10913_RFP_Attachment L.pdf | ||
| 10913_Exhibit 9.pdf | ||
| 10913_RFP_Attachment_S.pdf | ||
| RFP_10913_Informational_Notice_1.pdf | ||
| 10913_RFP_Attachment_Q.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 .