ITN 10828_Attachment L.docx
DOCX document 31 KB Posted
- Solicitation number
- ITN-07764
- Issued by
- Pinellas County, Florida
About this file
This document is a Foreign Country of Concern Attestation form (PUR 1355) required for entities submitting a bid, proposal, or reply to, or entering into, renewing, or extending, a contract 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 for a non-secure twenty-four (24) bed residential program for males between the ages sixteen and twenty-one who have completed or received their high school diploma or equivalent prior to or during the residential commitment placement. The program must coordinate services with the youth's Juvenile Probation Officer and provide Career and Technical Education services, Substance Abuse Treatment Overlay Services, and/or Mental Health Overlay Services. The program shall be located in a Department-owned building in the Department's Central Region.
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Other files
| File | Type | Posted |
|---|---|---|
| 10828_ITN_Inventory.xlsx | XLSX spreadsheet | |
| ITN_10828_Agency Decision.doc | DOC document | |
| ITN_10828_Addendum1.pdf | ||
| ITN_AttachmentQ.pdf | ||
| ITN_10828_Exhibit 7.pdf | ||
| ITN_10828.pdf | ||
| 10828_ITN_Attachment_J.xlsx | XLSX spreadsheet | |
| ITN_10828_Attachment N.pdf |
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Text version
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:
PUR 1355 (10/23) Page 1 of 1 Rule 60A-1.020, F.A.C.
File details come from the government source that posted it. Updated .