2-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 Darlington Road Sidewalk Improvements project from Hama Drive to US 19 in Florida. All bidders submitting proposals for this project must complete and attach this mandatory disclosure form with their bid submissions. The form requires bidders to identify any officers, directors, or agents who are also employed by Pasco County, Florida, 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. Bidders must certify under penalty of perjury that their bid proposal is submitted without prior understanding, agreement, or connection with any other entity submitting a competing proposal, and that the proposal is fair and made without collusion or fraud.

The disclosure form serves as a compliance mechanism under Chapter 112, Florida Statutes, and requires the authorized bidder representative to sign and provide their printed name, title, and date of submission. Any conflicts of interest or additional disclosures required beyond the form's designated spaces must be documented on attached supplemental sheets. This certification is a prerequisite for bid acceptance and demonstrates the bidder's commitment to ethical bidding practices and regulatory compliance.