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 is a Foreign Country of Concern Attestation form (PUR 1355) required by the Florida Department of Juvenile Justice (DJJ) for Solicitation #10913, a 78-bed moderate-risk residential program for male youth aged 15-21. The solicitation seeks a comprehensive provider to deliver delinquency programming, mental health overlay services (MHOS), substance abuse treatment overlay services (SAOS), academic and career technical education, health and nursing services, recreation therapy, and transition services at a department-owned facility located at 9680 Weisman Way in Palm Beach County. A mandatory site visit is scheduled for September 30, 2025, with proposals due November 4, 2025. The anticipated contract start date is April 1, 2026, with an expected term through March 31, 2029. The Department intends to award a single contract based on funding availability.
All bidders must complete this attestation form, declaring under penalties of perjury that the entity submitting a bid is not owned by, organized under the laws of, nor has its principal place of business in a Foreign Country of Concern, and that the government of a Foreign Country of Concern does not have a controlling interest in the entity. This requirement is mandated by Rule 60A-1.020, F.A.C., and applies to any entity seeking access to an individual's personal identifying information through a contract with DJJ. The form requires the signature, printed name, title, and date of an officer or representative authorized to execute the attestation on behalf of the bidding entity.
View the file
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 .