RFP 10797_Exhibit 5.pdf
PDF 116 KB Posted
- Attached to
- PROB - JAC Services - 2 Locations - C2/C6
- Solicitation number
- RFP-05727
- Issued by
- Leon County, Florida
About this file
This document is an Exhibit from an RFP (Request for Proposals) issued by the Florida Department of Juvenile Justice for Juvenile Assessment Center services at two locations - the Leon County JAC and the Pasco County Regional JAC. The RFP requires the selected contractor(s) to provide detention screening and intake services for youth alleged to have committed a delinquent act. The RFP covers services for 2 Contracts, one for each location. No additional details are provided regarding quantities, response dates, site visits, award dates, or contract term.
The document also includes a Parent/Responsible Adult Release Affidavit form that must be completed, which gathers information about the parent, guardian, or responsible adult taking custody of the child. Pricing terms, funding sources, and other salient financial details are not included in this Exhibit.
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Other files
| File | Type | Posted |
|---|---|---|
| RFP 10797_Exhibit 4.pdf | ||
| RFP_10797_Attachment N.pdf | ||
| RFP_10797_AttachmentS.pdf | ||
| RFP_10797_Informational_Notice.pdf | ||
| RFP_10797_v3.pdf | ||
| RFP_10797_Attachment_Q.pdf | ||
| RFP_10797_Addendum1.pdf | ||
| RFP_10797_Attachment H_BudgetForProbation.xlsx | XLSX spreadsheet | |
| RFP_10797_Notice_of_Agency_Decision.pdf |
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Text version
EXHIBIT 7
Department of Juvenile Justice Juvenile Assessment Center
Parent/Responsible Adult Release Affidavit
I, ____________________________________________________ Name attest that I am the _____________________________________of Parent/Guardian/Responsible Adult
________________________________________ whose address is Child’s Name
__________________________________________________, and Address date of birth is ________________________. I may be reached at
DOB
Home Phone Cellular Phone and/ or _________________________.
Pager
Parents Information
Date of Birth ___________________________
Type of Identification provided: ______________________________
I attest that the above information is true and factual.
Signature of Parent/Guardian/Responsible Adult Date
Witness
Reviewed By:
Intake Screener Date
Lead Screener Date
File details come from the government source that posted it. Updated .