Attachment L.pdf

PDF 107 KB Posted

Attached to
RES. 24-Bed Nonsecure Boys - MHOS - SAOS
Solicitation number
RFP-08174
Issued by
Duval County, Florida

About this file

This document is a Foreign Country of Concern Attestation (Form PUR 1355) required for a state and local contract opportunity issued by the Florida Department of Juvenile Justice (DJJ) for a 24-bed nonsecure residential program for male youth between the ages of 14 and 18. The program will be located in a DJJ-owned building in Jacksonville, Florida or a Respondent-owned/leased building in Florida, and must provide innovative delinquency programming and treatment services as described in the attached Scope of Work. The contract term is unspecified.

The Attestation requires the entity submitting a bid, proposal, or reply to declare that it is not owned by, organized under the laws of, or have its principal place of business in a "Foreign Country of Concern", and that the government of such a country does not have a controlling interest in the entity. This declaration must be made under penalties of perjury.

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10833 RFP Attachment N.pdf PDF
10833_ RFP Informational Notice 2.pdf PDF
Attachment L.pdf PDF
10833 Attachment S.pdf PDF
10833_Exhibit 9.pdf PDF
10833_Exhibit 10.pdf PDF
RFP10833_FINAL.pdf 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 .