ITN_10848_Attachment L.docx
DOCX document 31 KB Posted
- Attached to
- CINS/FINS & Statewide Respite Care Services
- Solicitation number
- ITN-09961
- Issued by
- Leon County, Florida
About this file
This document is an "Foreign Country of Concern Attestation" form that must be completed by 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. The related state and local contract opportunity is for the Florida Department of Juvenile Justice (DJJ) Solicitation #10848 - Children In Need of Services/Families In Need of Services (CINS/FINS), Statewide Respite Care Services, and evidence-based or promising practices delinquency programming. DJJ is seeking proposals from community, faith-based, not-for-profit organizations, LLCs, and/or divisions of local government to provide residential and non-residential statewide services for CINS/FINS youth and families, as well as statewide respite care services for youth between 10-18 years of age. The contract will include management and administrative oversight of a statewide network of community-based respite care service providers.
The contract will be awarded to a lead agency that will subcontract for the delivery of the required services. Pricing terms, set asides, and funding requirements are not specified in the document. The contract is for services to be provided statewide within Florida's 20 judicial circuits.
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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 .