14-G3. REQUIRED CONFLICT OF INTEREST DISCLOSURE.pdf

This is a Conflict of Interest Disclosure form required by the Pasco County Board of County Commissioners for the Fort King Road sidewalk and pedestrian crossing project in Florida. All bidders submitting proposals for this construction project must complete and submit the mandatory disclosure form along with their bid. The disclosure requires bidders to identify any officers, directors, or agents who are also employees of Pasco County, as well as any Pasco County employees who own, directly or indirectly, ten percent or more interest in the bidder's firm or any of its branches. The form must be signed under penalty of perjury by an authorized representative of the bidding entity, certifying that the bid proposal is made without prior understanding, agreement, or connection with any other corporation, firm, or person submitting a bid for the same work, and that the proposal is fair and without collusion or fraud.

The disclosure form serves to ensure compliance with Chapter 112, Florida Statutes, which governs conflicts of interest in state and local contracting. Bidders are required to provide the names of the firm's authorized representative, their printed name, title, and the date of submission. Additional sheets may be attached if necessary to fully disclose all required information regarding potential conflicts of interest. This mandatory disclosure mechanism protects the integrity of the competitive bidding process and ensures that all bids are evaluated on a level playing field without improper influence from county employees or other conflicting relationships.