RFP 10912_Attachment L.pdf
PDF 108 KB Posted
- Attached to
- RES-28-Beds-Moderate-Males-MHOS-SAOS-South-C11
- Solicitation number
- RFP-11392
- Issued by
- Miami-Dade County, Florida
About this file
This is Form PUR 1355, a Foreign Country of Concern Attestation form required by the Florida Department of Management Services (Rule 60A-1.020, F.A.C.) for entities submitting bids, proposals, or replies to government contracts that would grant access to personal identifying information. The form, dated October 2023, must be completed by an officer or representative of the bidding entity.
The form requires attestation that the entity is not owned by, organized under the laws of, or principally located in a Foreign Country of Concern, and that such foreign governments do not have a controlling interest in the entity. The document requires the signatory's printed name, title, and signature, with the declaration made under penalty of perjury. The form appears to be a prerequisite document for the associated opportunity seeking a 28-bed moderate-risk residential program for males in Circuit 11 of DJJ's south region.
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Other files
| File | Type | Posted |
|---|---|---|
| RFP 10912_Attachment L.pdf | ||
| RFP 10912_Addendum1.pdf | ||
| 10912_RFP_Final.pdf | ||
| 10912_VBSInfo1_2.14.25.pdf | ||
| RFP 10912_RejectAll_AgencyDecision_2.27.25.pdf | ||
| RFP 10912_Miami_Frequently_Asked_Questions.pdf | ||
| RFP 10912_Inventory.xlsx | XLSX spreadsheet | |
| RFP 10912_Attachment S.pdf | ||
| RFP 10912_Attachment Q_.pdf | ||
| RFP_10912_Attachment N.pdf |
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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 .