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 (PUR 1355) 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 entity must attest that it 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.
The related state and local contract opportunity is for a 28-bed nonsecure residential program for male youths between the ages of 14 and 18 in the Florida Department of Juvenile Justice's (DJJ) South Region. The program must provide innovations in delinquency programming and treatment services, as described in the attachments. The program shall be in a DJJ-owned building located at 10855 SW 84th Street, Miami, Florida, 33173 or a Respondent-owned/leased building located in the State of Florida. The contract is being offered by the State of Florida, with the jurisdictions of Leon County and Tallahassee City.
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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 .