Foreign Country of Concern Attestation Form for Florida DJJ Delinquency-Dependency Case Management Pilot

This is a Foreign Country of Concern Attestation form (PUR 1355) required by the Florida Department of Juvenile Justice for the Delinquency-Dependency Case Management Pilot procurement (RFP #10991) in Miami-Dade County. The form must be completed and signed by an officer or representative of any entity submitting a bid or proposal for this contract opportunity, which seeks a non-profit organization to implement comprehensive case management services for youth involved in both delinquency and dependency systems. The pilot program will operate from January 1, 2026, through December 31, 2030, with a full proposal submission deadline of January 1, 2026. The program is designed to serve 130 youth per day over 170 service days annually and requires participating organizations to demonstrate at least two years of experience serving at-risk youth and maintain a current contract with the Department of Children and Families as the community-based care lead agency for Miami-Dade County.

The attestation form requires the bidding entity to declare under penalties of perjury that the entity is not owned by the 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. This certification is mandatory for any organization seeking to access Personal Identifying Information through this contract, as required by Rule 60A-1.020, F.A.C. The annual maximum contract amount is $2,733,686, with a unit price of $5.65 per youth per day, and financial viability will be assessed using Dun & Bradstreet Business Information Reports with a required Supplier Evaluation Risk score of 5 or less.