Attachment L_PUR_1355.pdf
PDF 106 KB Posted
- Attached to
- PROB – RFP 10872 - Comprehensive Evaluations and Specialized Add-On Evaluations - - Statewide
- Solicitation number
- RFP-10161
- Issued by
- Leon County, Florida
About this file
The document is a Foreign Country of Concern Attestation form (PUR 1355) required for entities submitting bids, proposals, or entering into contracts with a Governmental Entity that would grant the entity access to an individual's Personal Identifying Information. The form requires the entity to attest 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 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 (DJJ) and the Office of Probation and Community Intervention for the provision of Comprehensive Evaluation services for youth referred to the Department who are alleged to have committed a delinquent act and who is being considered for commitment to the Department. The services are to be provided in the awarded judicial circuit(s) by properly licensed professionals who possess the minimum qualifications contained in the RFP.
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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 .