RFP_10850_Attachment_L.pdf
PDF 61 KB Posted
- Attached to
- RES-28-Bed-SAOS-Nonsecure-Boys
- Solicitation number
- RFP-09226
- Issued by
- Miami-Dade County, Florida
About this file
This document is a foreign country of concern attestation form required for entities submitting bids, proposals, or replies 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 must be completed by an officer or representative of the entity, attesting that the entity is not owned by, organized under the laws of, nor has 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 a 28-bed nonsecure residential program for male youth between the ages of 14 and 18 in the Department of Juvenile Justice's South Region. The program must include innovations in delinquency programming and treatment services, and will be located in a Department-owned building in Miami, Florida or a Respondent-owned/leased building in the state of Florida. The Department will allow for flexibility of beds and restrictiveness levels based on their needs for treatment services.
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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 .