05. Appendix E- Award Preferences Form.docx
DOCX document 26 KB Posted
- Solicitation number
- RFP-11453
- Issued by
- Leon County, Florida
About this file
This is an Award Preferences Form (Form 2425-09) from the Florida Department of Financial Services related to RFP COS. The form is designed to be used as a tiebreaker in situations where multiple respondents receive identical highest scores during the evaluation process.
The form requires respondents to indicate their eligibility for various preference categories including: certified minority business enterprise status under section 288.703 F.S., certified veteran business enterprise status under section 295.187 F.S., implementation of a drug-free workplace program under section 287.087 F.S., or status as a foreign manufacturing company with a Florida factory employing over 200 Florida workers. Additionally, respondents must declare their net worth and certify that all provided information is accurate. The form includes spaces for the respondent's name, signature, printed name, and date.
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Other files
| File | Type | Posted |
|---|---|---|
| 2425-09 RFP COS - Addendum 1.pdf | ||
| 04- Appendix C- Questions Template.xlsx | XLSX spreadsheet | |
| 05. Appendix E- Award Preferences Form.docx | DOCX document | |
| 02. Attachment 3 - Price Response.docx | DOCX document | |
| 03. Attachment 6, Certification Form.docx | DOCX document | |
| 01- 2425-09 RFP COS - Complete.pdf |
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Text version
DEPARTMENT OF FINANCIAL SERVICES
Award Preferences Form
2425-09 RFP COS
Appendix E The Respondent’s responses on this form will only be used in the event one or more Respondents receive an identical highest score. If the Department discovers that any information on this form is false after the award to the Respondent is made, the Department reserves the right to terminate the Contract and hold the Respondent liable for costs associated with re-procurement.
1. Choose the responses that apply by checking the applicable box(es) below:
| |_| | Respondent is a certified minority business enterprise as defined in section 288.703, Florida Statutes, (F.S.). |
| |_| | Respondent is a certified veteran business enterprise as provided in section 295.187, F.S. |
| |_| | Respondent has implemented a drug-free workplace program in accordance with section 287.087, F.S. |
| |_| | Respondent is a foreign manufacturing company with a factory in Florida and employing over 200 employees working in Florida. |
| |_| | Respondent is not eligible for any of the above preferences. |
2. Complete the following statement:
Respondent has a net worth of __________________.
As the person authorized to sign this form, I certify that the information provided above is accurate as to the Respondent.
Name of Respondent: _________________________________________________________________
Signature: _________________________________________________________________
Printed Name: _________________________________________________________________
Date: _________________________________________________________________
Appendix E Rev. 9/28/22
File details come from the government source that posted it. Updated .