RFP_10925_Attachment_L.pdf

This is a Foreign Country of Concern Attestation form (PUR 1355) required by the Florida Department of Juvenile Justice and the Office of Probation and Community Intervention as part of RFP #10925 for Mental Health and Substance Abuse Evaluation and Treatment Services. The RFP seeks qualified providers to deliver comprehensive mental health and substance abuse evaluation and treatment services to youth aged 12-19 under DJJ supervision across all 20 Florida judicial circuits. Requested services include mental health and substance abuse diagnostic evaluations, individual/group/family counseling, treatment planning, clinical case management, drug screenings, monthly progress reports, and discharge planning. Respondents must submit proposals electronically through the DJJ Bid Library by September 10, 2025, with technical proposals limited to 60 pages. The anticipated contract start date is January 1, 2026, with an initial contract period extending through December 31, 2029. The Department intends to award multiple rate agreements across the judicial circuits, allowing for multiple vendors to be selected.

This attestation form must be completed by all entities submitting bids and confirms that the bidding entity is not owned by the government of a Foreign Country of Concern, is not organized under the laws of or does not have its Principal Place of Business in a Foreign Country of Concern, and that no Foreign Country of Concern government has a Controlling Interest in the entity. The form requires certification under penalties of perjury and must be signed by an officer or representative of the submitting entity. Mandatory pricing includes fixed rates such as $350 for mental health diagnostic evaluations, $450 for integrated evaluations, and $150 for treatment plans, with counseling session rates ranging from $12.50 to $38 per 15-minute unit. Respondents are encouraged to participate through minority business enterprise initiatives, and preference points are available for various certifications including Drug Free Workplace, Certified Minority Business Enterprise, and Service Disabled Veteran's Business Enterprise designations.