ITN_10848_Attachment R.docx

DOCX document 39 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 Invitation to Negotiate (ITN) issued by the Florida Department of Juvenile Justice (DJJ) for CINS/FINS (Children in Need of Services/Families in Need of Services) and Statewide Respite Care Services, as well as evidence-based or promising practices delinquency programming. The 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, including contracting with local service providers, providing statewide support services, data collection and reporting, management, and enforcement. The services are to be provided to youth between the ages of 6 to 18 years old. The DJJ is also seeking to procure a lead agency to subcontract and provide management and administrative oversight of a statewide network of community-based respite care service providers for youth between the ages of 10 to 18 years old.

The DJJ is seeking proposals that will deliver all service components inclusive - CINS/FINS, Statewide Respite Care Services, and evidence-based or promising practices delinquency prevention programming. Respondents must demonstrate at least 3 years of relevant experience within the last 5 years in the provision of services specified in the solicitation.

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Other files

File Type Posted
10848_ITN_Exhibit 3_Youth_Discharge_Form.pdf PDF
ITN_10848.pdf PDF
ITN_10848_Attachment Q.pdf PDF
10848_ITN_Exhibit 3_Youth_Discharge_Form.pdf PDF
ITN_10848_Attachment J.xlsx XLSX spreadsheet
ITN_10848_Attachment T.docx DOCX document
ITN_10848_Attachment L.docx DOCX document
ITN_10848_Attachment R.docx DOCX document
ITN_10848_Attachment T.docx DOCX document
10848_ITN_Exhibit 1_Invoice.pdf PDF
10848_ITN_Exhibit 3_Youth_Discharge_Form.pdf PDF
ITN_10848.pdf PDF
ITN_10848_Attachment N.docx DOCX document
ITN_10848_Attachment Q.pdf PDF
ITN_10848_Attachment T.docx DOCX document
ITN_10848_Attachment J.xlsx XLSX spreadsheet
ITN_10848_Attachment Q.pdf PDF
ITN_10848_Informational_Notice_1.pdf PDF
ITN_10848_Informational_Notice_3.pdf PDF
10848_ITN_Exhibit 1_Invoice.pdf PDF
ITN_10848_Addendum_1.pdf PDF
ITN_10848_Attachment J.xlsx XLSX spreadsheet
ITN_10848_Attachment L.docx DOCX document
ITN_10848_Attachment R.docx DOCX document
ITN_10848_Informational_Notice_4.pdf PDF
ITN_10848_Attachment L.docx DOCX document
10848_ITN_Exhibit 1_Invoice.pdf PDF
10848_ITN_Exhibit 4_Start-Up_Implementation.docx DOCX document
ITN_10848_Attachment N.docx DOCX document
ITN_10848_Attachment N.docx DOCX document
ITN_10848_Informational_Notice_1.pdf PDF
ITN_10848_Attachment L.docx DOCX document
ITN_10848_Attachment N.docx DOCX document
10848_ITN_Exhibit 3_Youth_Discharge_Form.pdf PDF
10848_ITN_Exhibit 4_Start-Up_Implementation.docx DOCX document
ITN_10848_Attachment Q.pdf PDF
ITN_10848_Informational_Notice_2.pdf PDF
10848_ITN_Exhibit 1_Invoice.pdf PDF
ITN_10848_Attachment R.docx DOCX document
ITN_10848_Attachment T.docx DOCX document
ITN_10848_Attachment L.docx DOCX document
10848_ITN_Exhibit 1_Invoice.pdf PDF
10848_ITN_Exhibit 3_Youth_Discharge_Form.pdf PDF
10848_ITN_Exhibit 4_Start-Up_Implementation.docx DOCX document
ITN_10848.pdf PDF
ITN_10848_Addendum_1.pdf PDF
ITN_10848_Attachment Q.pdf PDF
ITN_10848_Informational_Notice_1.pdf PDF
ITN_10848_Attachment L.docx DOCX document
10848_ITN_Exhibit 1_Invoice.pdf PDF
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Text version

ITN #10848

ATTACHMENT R

CERTIFICATION OF EXPERIENCE

THIS FORM SHALL BE COMPLETED BY THE RESPONDENT AND SIGNED BY A PERSON AUTHORIZED TO MAKE STATEMENTS ON BEHALF OF THE RESPONDENT. RETURN OF THE COMPLETED AND SIGNED FORM IS A MANDATORY REQUIREMENT.

COMPANY NAME:

DATE ESTBLISHED:

PRIMARY BUSINESS:

TOTAL NUMBER OF EMPLOYEES:

NUMBER OF EMPLOYEES ENGAGED IN ACTIVITIES RELEVANT TO THIS ITN: (NOT INCLUDING LOCAL SERVICE PROVIDERS)

NUMBER OF YEARS OF PROVIDER EXPERIENCE IN SERVICES RELEVANT TO THE PROVISION OF MANAGEMENT AND OVERSIGHT OF PROGRAMS SERVING VULNERABLE YOUTH POPULATIONS:

LIST ENTITIES FOR WHOM THE COMPANY HAS PROVIDED SERVICES WITHIN THE LAST FIVE YEARS, THE DATES OF THE PERFORMANCE (RESPONDENT MUST DEMONSTRATE THREE YEARS EXPERIENCE WITHIN THE LAST FIVE YEARS), THE BUSINESS NAME AND CONTRACT MANAGER’S NAME, PHONE NUMBER AND EMAIL ADDRESS:

I, , CERTIFY THAT THE RESPONDENT KNOWN AS HAS AT LEAST YEARS EXPERIENCE WITHIN THE LAST FIVE YEARS RELEVANT TO THE PROVISION OF SERVICES SPECIFIED IN THE ATTACHMENT A (SERVICES SOUGHT) AND ATTACHMENT A-1 (STATEWIDE RESPITE CARE SERVICES).

Signature

Printed Name

Title

Date

File details come from the government source that posted it. Updated .