11. Attachment D - Award Preferences Form.pdf
PDF 125 KB Posted
- Attached to
- Unclaimed Securities Property Management
- Solicitation number
- RFP-00201
- Issued by
- Leon County, Florida
About this file
This document is an Award Preferences Form from the Florida Department of Financial Services related to a Request for Proposal (RFP) for securities property management services. The RFP is being issued by the Department's Division of Unclaimed Property to obtain competitive sealed Responses from qualified vendors. The responses on this form will only be used in the event one or more Respondents receive an identical highest score. The form allows the Respondent to indicate if they are a certified minority business enterprise, certified veteran business enterprise, have implemented a drug-free workplace program, or are a foreign manufacturing company with a factory in Florida and over 200 employees working in the state. The Respondent must also provide their net worth.
The related state and local contract opportunity involves the management of unclaimed securities property. The solicitation will be administered through the Vendor Information Portal (VIP). The Department has posted the Questions and Answers for the RFP. Failure to file a protest within the time prescribed or post the required bond may result in waiver of proceedings under Chapter 120 of the Florida Statutes.
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Text version
Attachment D
Rev. 11/29/21
DEPARTMENT OF FINANCIAL SERVICES
Award Preferences Form
Attachment D
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, 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: _________________________________________________________________
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