24-0225-B-AR949-Ceiling_Tile_and_Ceiling_Grid_Required_Documents.pdf

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Attached to
Ceiling Tile and Ceiling Grid State and local contract opportunity
Solicitation number
24-0225-B-AR949
Issued by
Florida

About this file

This is an Invitation to Bid (ITB) issued by Lake County Schools, Florida, specifically Procurement Services, for a Ceiling Tile and Ceiling Grid procurement. The bid (number 24-0225-B-AR949) is due on 03/20/2025 at 2:00 PM EST, with online submissions required through www.myVendorLink.com. The procurement is for maintenance supplies to be purchased for maintenance stock and ordered as needed by the Lake County School Board. Bidders must submit all documentation electronically, and physical hard copies will not be accepted.

The solicitation includes several key compliance requirements and preference considerations. Local Lake County vendors may qualify for up to five additional points in the evaluation process by meeting specific criteria, such as having a fixed office in Lake County for at least 12 months, employing local residents, and paying local ad valorem taxes. The bid also includes provisions for drug-free workplace certification, conflict of interest statements, and non-collusion affidavits. Vendors must be prepared to provide emergency support during public emergencies, with a requirement to prioritize school board needs over private citizens. The procurement emphasizes local economic participation while maintaining a competitive and transparent bidding process.

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M_24-0225-B-AR949_Ceiling_Tile_&_Ceiling_Grid_NOI.pdf PDF
L_24-0225-B-AR949_Ceiling_Tile_&_Ceiling_Grid_Addendum_1.pdf PDF
24-0225-B-AR949_Ceiling_Tile_and_Ceiling_Grid_Solicitation.pdf PDF
24-0225-B-AR949_Ceiling_Tile_&_Ceiling_Grid_Cost_Proposal.xlsx XLSX spreadsheet

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INVITATION TO BID

Acknowledgement Form Lake County Schools, FL

Procurement Services

29529 CR 561

Tavares, FL 32778

DATE ISSUED: 2/25/2025

SUBMIT TO:

All Bids shall be submitted at the specified date and time below at: www.myVendorLink.com

Note: Physical hard copies of the submittal is unacceptable, online responses only at the above website CONTACT PERSON: Angelita Russell Procurement and Contracting Manager Telephone #: 352-253-6763 E-mail: russella3@lake.k12.fl.us

TITLE:

Ceiling Tile and Ceiling Grid

BID NUMBER:

24-0225-B-AR949

SUBMITTAL DEADLINE:

03/20/2025 at 2:00 PM EST

SUBMITTALS RECEIVED AFTER ABOVE DATE AND TIME WILL NOT BE ACCEPTED

REQUEST FOR INFORMATION DEADLINE: 03/4/2025 at 2:00 pm I hereby certify that this bid is made without prior understanding, agreement, or connection with any other bidder submitting a bid for the same materials, supplies, equipment or services, and is in all respects fair and without collusion or fraud. I also certify that I have read and understand the requirements of this Invitation to Bid (ITB) and that I, as the bidder, will comply with all requirements, and that I am duly authorized to execute this proposal/offer document and any contract(s) and/or other transactions required by award of this ITB.

This bid submittal and subsequent award by Lake County Schools, FL shall constitute a binding and enforceable contract. All Specifications, Terms and Conditions, Addenda, and correspondence of this Contract shall be incorporated into the final award and become an integral part of the Contract. Unless otherwise stipulated in this Contract, no other contract documents shall be issued.

LEGAL NAME, As described “Florida Department of State, Division of Corporations Registration Requirements”

Florida Division of Corporation Document Number (www.sunbiz.org) :

MAILING ADDRESS: I hereby certify that I have read and understand the requirements of this Contract (hereinafter, the “Contract”) and that, I, as the Bidder, will comply with all requirements of this offer and any contract(s) and/or other transactions required by this award.

Authorized Signature

Typed Name Title Date

Email Address

CITY – STATE – ZIP:

TELEPHONE NO:

FAX NO:

E-Verify Number:

FEI/EIN Number:

Receipts of the following web posted Addenda are hereby acknowledged: (List all attached Addenda)

Addendum No. ______ Dated ____________ Addendum No. ______ Dated ____________

Addendum No. ______ Dated ____________ Addendum No. ______ Dated ____________ http://www.myvendorlink.com/ mailto:russella3@lake.k12.fl.us http://www.sunbiz.org/

BIDDER’S EXPERIENCE/QUALIFICATIONS REFERENCES

Please provide written responses to the following questions. If the answer to any of the questions is “Yes”, Bidder shall describe fully the circumstances, reasons therefore, status, and ultimate disposition of each matter that is the subject of this inquiry.

1. Years in business under present name: Years performing work specialty:

Licenses currently valid and in force:

2. Bidder’s Representative: Provide the following information for the representative assigned to this contract. Representative will assist in the overall coordination of services to include but not be limited to quoting projects and resolving issues with invoices, etc.:

Name: Phone #: Cell #:

Email:

3. Has Bidder been declared in default of any contract? Yes No

4. Has Bidder ever forfeited on any performance bond payment issued by a surety company on any contract? Yes No

5. Has an uncompleted contract been assigned by Bidder’s surety company on any payment of performance bond issued to Bidder arising from its failure to fully discharge all contractual obligations there under? Yes No

6. Within the past three (3) years, has Bidder filed for reorganization, protection from creditors, or dissolution under the bankruptcy statutes? Yes No

7. Is Bidder now the subject of any litigation in which an adverse decision might result in a material change in Bidder’s financial position or future viability? Yes No

8. Is Bidder currently involved in any state of fact-finding, negotiations, or resistance to a merger, friendly acquisition or hostile take-over, either as a target or as a pursuer? Yes No

9. References: Provide three references from agencies to which Bidder has provided goods or services to in the past two (2) years.

At least one reference should be a public school system.

Reference # 1

Organization Name: Telephone # Rep Name:

Email: Scope of Work:

Project Dollar Value: Present Contract Status: Contract Dates:

Reference # 2

Reference # 3

Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion -- Lower Tier Covered Transactions

This certification is required by the Department of Education regulations implementing Executive Order 12549, Debarment and Suspension, 34 CFR Part 85, for all lower tier transactions meeting the threshold and tier requirements stated at Section 85.110.

Instructions for Certification

1. By signing and submitting this proposal, the prospective lower tier participant is providing the certification set out below.

2. The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was entered into. If it is later determined that the prospective lower tier participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment.

3. The prospective lower tier participant shall provide immediate written notice to the person to which this proposal is submitted if at any time the prospective lower tier participant learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.

4. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered transaction," "participant," " person," "primary covered transaction," " principal," "proposal," and "voluntarily excluded," as used in this clause, have the meanings set out in the Definitions and Coverage sections of rules implementing Executive Order 12549. You may contact the person to which this proposal is submitted for assistance in obtaining a copy of those regulations.

5. The prospective lower tier participant agrees by submitting this proposal that, should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the department or agency with which this transaction originated.

6. The prospective lower tier participant further agrees by submitting this proposal that it will include the clause titled Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion-Lower Tier Covered Transactions, without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions.

7. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that it is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A participant may decide the method and frequency by which it determines the eligibility of its principals. Each participant may but is not required to, check the Nonprocurement List.

8. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.

9. Except for transactions authorized under paragraph 5 of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment.

Certification

(1) The prospective lower tier participant certifies, by submission of this proposal, that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency.

(2) Where the prospective lower tier participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal.

NAME OF APPLICANT PR/AWARD NUMBER AND/OR PROJECT NAME

PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE

SIGNATURE DATE

ED 80-0014, 9/90 (Replaces GCS-009 (REV.12/88), which is obsolete)

SWORN STATEMENT UNDER SECTION 287.133(3) (a), FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES

This form must be signed and sworn to in the presence of a notary public or other officer authorized to administer oaths.

1. This sworn statement is submitted to Insert name of public entity by Insert individual's name and title for Insert name of entity submitting sworn statement

Whose business address is:

(If applicable) its Federal Employer Identification Number (FEIN) is:

(If the entity has no FEIN, include the Social Security Number of the individual signing this sworn statement on the attached sheet.) Required as per IRS Form W-9.

2. I understand that a “public entity crime” as defined in Paragraph 287.133(1)(g), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity or with an agency or political subdivision of any other state or with the United States, including but not limited to, and bid or contract for goods or services to be provided to any public entity or agency or political subdivision or any other state or of the Unites States, and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation.

3. I understate that “convicted” or “conviction” as defined in Paragraph 287.133(1) (b), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trial court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, nonjury trial, or entry of a plea of guilty or nolo contendere.

4. I understand that “affiliate” as defined in Paragraph 287.133(1)(a), Florida Statutes means:

A. A predecessor or successor of a person convicted of a public entity crime or;

B. An entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term “affiliate” includes those offices, directors, executives, partners, shareholders, employees, members, and agents who are active in the management of the affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not fair market value under an arm’s length agreement, shall be a facie case that one person controls another person. A person who knowingly enters into a join venture with a person who has been convicted of a public entity crime in Florida during the proceeding 36 months shall be considered an affiliate.

5. I understand that a “person” as defined in Paragraph 287.133(1) (c), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter a binding contract and which bids or applies to bid on contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term “person” includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of the entity.

6. Based on information and belief, the statement, which I have marked below, is true in relation to the entity submitting those sworn statements. (Please indicate which statement applies.)

Neither the entity submitted this sworn statement, nor any officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of an entity nor affiliate of the entity have been charged with and convicted of a public entity crime subsequent to July 1, 1989.

The entity submitting this sworn statement, or one or more of the officers, directors, executives, partners, shareholders, employees, member, or agents who are active in management of the entity, or an affiliate of the entity have been charged with and convicted of a public entity crime subsequent to July 1, 1989.

The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, member, or agents who are active in management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. However, there has been subsequent proceeding before a Hearing Officer of the State of Florida, Division of Administrative Hearing and the Final Order entered by the Hearing Officer determined that it was not in the public interest to place the entity submitting this sworn statement on the convicted vendor list. (Attach a copy of the final order)

I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND, THAT THIS

FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IS FILED. I ALSO

UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A

CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017, FLORIDA

STATUTES, FOR CATEGORY TWO OR ANY CHANGE IN THE INFORMATION CONTAINED IN THIS FORM.

(Signature) (Date)

STATE OF_________________________________COUNTY OF_______________________________

PERSONALLY APPEARED BEFORE ME, the undersigned authority, (Name of individual signing) who, after first being sworn by me, affixed his/her signature in the space provided above on this_________ day of___________________, 20____.

(NOTARY PUBLIC)

My Commission Expires: _____________________________

PROJECT IDENTIFICATION: Bid # Bid Name:

SOCIAL SECURITY NUMBER:

(If the entity has no FEIN, include the Social Security Number of the individual signing this sworn statement on the attached sheet.) Required as per IRS Form W-9.

NON-COLLUSION AFFIDAVIT

State of

County of being first duly sworn, deposes and says that:

(1) He/she is the Owner, Partner, Officer, Representative, or Agent of the Proposer that has submitted the attached Proposal;

(2) He/she is fully informed respecting the preparation and contents of the attached Proposal and of all pertinent circumstances respecting such Proposal;

(3) Such Proposal is genuine and is not a collusive or sham Proposal;

(4) Neither the said Proposer nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, have in any way colluded, conspired, connived or agreed, directly or indirectly, with any other Proposer, firm, or person to submit a collusive or sham Proposal in connection with the Work for which the attached Proposal has been submitted; or to refrain from proposing in connection with such Work; or have in any manner, directly or indirectly, sought by agreement or collusion, or communication, or conference with any Proposer, firm or person to fix any overhead, profit, or cost elements of the Proposal price or the Proposal price of any other Proposer, or to secure through any collusion, conspiracy, connivance, or unlawful agreement any advantage against (Recipient), or any person interested in the proposed Work;

(5) The price or prices quoted in the attached Proposal are fair and proper and are not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the Proposer or any other of its agents representatives, owners, employees or parties in interest, including this affiant.

Signed, sealed, and delivered in the presence of:

BY: ____________________________

Witness

Printed Name Witness Title

LOCAL PURCHASING

The School Board recognizes its position as a major purchaser in this community, and while it is the intention of the Board to purchase materials and supplies of quality at the lowest possible cost through widespread competition, if all other considerations are equal, the Board prefers to purchase from businesses located in Lake County "local businesses".

Preference for Business in Lake County Florida

NOTE: the preference for business in Lake County Florida does not apply to construction projects funded through State appropriations.

Local Lake County vendors may qualify for a maximum of additional five (5) points (or percent) to their final score.

To qualify for local Lake County Vendor preference points, vendors must include all valid required documentation meeting County and Local City requirements in their bid package. If the required documentation is not included in the bid package, vendors will not be considered for the Local Lake County vendor preference. Qualifying for local Lake County Vendor preference will only considered for the Prime vendor.

The points will be allocated as follows:

A. Vendor must have a fixed office or distribution point located in and having a street address within Lake County for at least twelve (12) months immediately prior to the issuance of the request for competitive bids by the district. (maximum allocation: 1 point/percent)

B. Number of employees that currently reside in Lake County, FL as follows:

1 point/percent; 1-10 employees 2 points/percent; 11 or more employees

In addition to the number of employees, please include the length of employment for each employee with your company.

C. Points/Percentages will also be assigned based on the amount of Ad Valorem Taxes to Lake County Public

Schools the prime vendor has paid. The points/percentages will be allocated as follows:

1 point/percent; $500 - $5,000 2 points/percent; $5,001 or more

Attach copies of the two (2) most recent years of your Business “Notice of Ad Valorem Taxes and Non-Ad Valorem Assessments”.

Note: Tax bills can be found at https://lake.county-taxes.com/public. If a party knowingly submits false information that causes a higher score to be awarded during the evaluation process, and the false representation is discovered during the bid period, the vendor will be disqualified. If the vendor has already been awarded the bid and is under contract with the School Board, then their actions will constitute a Breach of Contract, and the School Board will reserve the right to terminate the contract, assess punitive damages in the amount of TBD, or other damages as deemed appropriate by the School Board.

In the event two (2) or more local vendors present exact tie low bids and the dollar award is not a criterion, the successful bidder shall be selected by applying the following criteria in order:

A. Drug-free workplace program in accordance with Florida law B. Minority business enterprise (MBE) certified by the State of Florida Office of Supplier Diversity

C. Veteran business enterprise, certified by the State of Florida Department of Management Services D. Coin flip or other method the Board may select

When two (2) out-of-District vendors submit identical low bids, the criteria noted above shall be used to determine the successful bidder.

https://lake.county-taxes.com/public

BIDDER’S STATEMENT OF PRINCIPAL PLACE OF BUSINESS

(To be completed by each Bidder) Name of bidder:

Identify the state in which the bidder has its principal place of business:

INSTRUCTIONS: IF your principal place of business above is located within the State of Florida, provide the information as indicated above and return this form with your bid response. No further action is required. IF your principal place of business is outside of the State of Florida, the following must be completed by an attorney and returned with your bid response. Failure to comply shall be considered to be non-responsive to the terms of this solicitation.

OPINION OF OUT-OF-STATE BIDDER’S ATTORNEY ON BIDDING PREFERENCES

(To be completed by the Attorney for an Out-of-State Bidder)

NOTICE: Section 287.084(2), Fla. Stat., provides that “a vendor whose principal place of business is outside this state must accompany any written bid, proposal, or reply documents with a written opinion of an attorney at law licensed to practice law in that foreign state, as to the preferences, if any or none, granted by the law of that state [or political subdivision thereof] to its own business entities whose principal places of business are in that foreign state in the letting of any or all public contracts.” See also: Section 287.084(1), Fla. Stat.

LEGAL OPINION ABOUT STATE BIDDING PREFERENCES

(Please Select One)

______ The bidder’s principal place of business is in the State of ________________ and it is my legal opinion that the laws of that state do not grant a preference in the letting of any or all public contracts to business entities whose principal places of business are in that state.

______ The bidder’s principal place of business is in the State of ________________ and it is my legal opinion that the laws of that state grant the following preference(s) in the letting of any or all public contracts to business entities whose principal places of business are in that state:

[Please describe applicable preference(s) and identify applicable state law(s)]:

LEGAL OPINION ABOUT POLITICAL SUBDIVISION BIDDING PREFERENCES

(Please Select One)

______ The bidder’s principal place of business is in the political subdivision of ________________ and it is my legal opinion that the laws of that political subdivision do not grant a preference in the letting of any or all public contracts to business entities whose principal places of business are in that political subdivision.

______ The bidder’s principal place of business is in the political subdivision of ________________ and it is my legal opinion that the laws of that political subdivision grant the following preference(s) in the letting of any or all public contracts to business entities whose principal places of business are in that political subdivision: [Please describe applicable preference(s) and identify applicable authority granting the preference(s)]:

Signature of out-of-state bidder’s attorney:

Printed name of out-of-state bidder’s attorney:

Address of out-of-state bidder’s attorney:

Telephone Number of out-of-state bidder’s attorney: (_____) _____ - _________

Email address of out-of-state bidder’s attorney:

Attorney’s states of bar admission:

INFORMATION ONLY

(This information will not affect the contract award)

Lake County School Board

CONDITIONS FOR EMERGENCY/HURRICANE OR DISASTER

It is hereby made part of this invitation to bid that, before, during, and after a public emergency, hurricane, disaster, flood, or acts of God, that the School Board of Lake County, Florida, shall require a “first priority” basis for goods and services.

It is vital and imperative that the majority of citizens are protected from any emergency situation which threatens public health and safety, as determined by the School Board of Lake County, Florida.

Vendor/Contractor agrees to rent/sell/lease all goods and services to the School Board of Lake County, Florida, as opposed to a private citizen on a first priority basis. Vendor/Contractor shall furnish a 24-hour phone number in the event of such an emergency.

I hereby understand and agree to the above statement.

Signature Name of Company

Print Name Title

Emergency Contact:

Emergency Telephone Number: ( ) - -

Home Telephone Number: ( ) - -

Beeper or Cell Phone Number: ( ) - - Email Address:

I cannot comply with this request.

Signature Name of Company

Print Name Title

DRUG FREE WORKPLACE CERTIFICATION FORM

Preference shall be given to businesses with drug-free workplace programs. Whenever two or more Bids which are equal with respect to price, quality, and service are received by the State or by any political subdivision for the procurement of commodities or contractual services, a Bid received from a business that certifies that it has implemented a drug-free workplace program shall be given preference in the award process.

Established procedures for processing tie Bids will be followed if none of the tied vendors have a drug-free workplace program. In order to have a drug-free workplace program, a business shall:

1) Publish a statement notifying employees that the unlawful manufacture distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition.

2) Inform employees about the dangers of drug abuse in the workplace, the business’s policy of maintaining a drug-free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations.

3) Give each employee engaged in providing the commodities or contractual services that are under Bid a copy of the statement specified in subsection (1).

4) In the statement specified in subsection (1), notify the employees that, as a condition of working on the commodities or contractual services that are under Bid, the employees will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of Chapter 893 or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five (5) days after such conviction.

5) Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee’s community, by any employee who is so convicted.

6) Make a good faith effort to continue to maintain a drug-free workplace through implementation of this section.

As the person authorized to sign the statement, I certify that this firm complies fully with the above requirements.

Proposer’s Signature:

Printed Name/Title:

Company Name:

CONFLICT OF INTEREST STATEMENT

I HEREBY CERTIFY THAT:

1. I, (printed name), ____________________, am the (title)_______________and the duly authorized representative of the firm of, (firm name) ____________________ whose address is

_________________________________, and that I possess the legal authority to make this affidavit on behalf of myself and the firm for which I am acting; and,

2. Except as listed below, no employee, officer, or agent of the firm have any conflicts of interest, real or apparent, due to ownership, other clients, contracts, or interests associated with this project.

Exceptions List:

(Signature)

(Date)

STATE OF

COUNTY OF

PERSONALLY APPEARED BEFORE ME, the undersigned authority, (Name of individual signing who, after first being sworn by me, affixed his/her signature in the space provided above on this day of , 2 .

(NOTARY PUBLIC)

My Commission Expires:

SAMPLE LABEL (Include only if needed)

All SAMPLES shall be sealed and delivered or mailed to:

The School Board of Lake County, FL – Maintenance/Calvin Wingo 220 N. Central Ave. Umatilla, FL 32784

Mark SAMPLE package(s) “ITB# 24-0225-B-AR949 – CEILING TILE & CEILING GRID or used label below:

Cut out the label above and attach it to your envelope/package

Note: Please ensure that if a third party carrier (Federal Express, Airborne, UPS, USPS, etc.) is used, that they are properly instructed to deliver your samples to Procurement Services at the above address.

The delivery of samples to the School Board of Lake County Procurement Services prior to the specified date and time is encouraged and is solely and strictly the responsibility of the respondent. Any sample received in Procurement Services after the specified date and time will not be considered. Respondent will be responsible for submitting a return label to Procurement Services in order to take possession of any samples that are received after the specified date and time that are considered non-responsive.

* DO NOT OPEN * SEALED SAMPLES * DO NOT OPEN *

RESPONDENT NAME:

SEALED SUBMITTAL NUMBER: ITB#

TITLE:

SUBMITTAL DUE ON or BEFORE

2:00 P.M.

Deliver to: The School Board of Lake County, FL Maintenance/Calvin Wingo

220 N. Central Ave.

Umatilla, FL 32784

PROJECT IDENTIFICATION: Bid # Bid Name:
CONFLICT OF INTEREST STATEMENT

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