2425-11 RFP CI- App D-Award Preference Form.docx
DOCX document 27 KB Posted
- Solicitation number
- RFP-15916
- Issued by
- Leon County, Florida
About this file
This is an Award Preferences Form (Appendix D) issued by the Florida Department of Financial Services for RFP 2425-11 CI regarding the procurement of equipment installation for statewide response team vehicles. The form is utilized only when two or more respondents achieve identical highest evaluation scores, and respondents must complete the form by certifying their eligibility status for applicable preference categories. A mandatory pre-response conference is scheduled for Tuesday, May 19, 2026, and interested vendors must comply with all RFP terms and conditions through the Vendor Information Portal.
The Award Preferences Form provides respondents the opportunity to claim preference eligibility in four categories: certified veteran business enterprise status under Florida Statute 295.187; implementation of a drug-free workplace program per Florida Statute 287.087; foreign manufacturing company status with a Florida factory employing over 200 employees under Florida Statute 287.092; or no eligibility for any listed preferences. Respondents must also declare their net worth and certify the accuracy of all provided information. The Department reserves the right to terminate any contract and pursue cost recovery if false information is discovered post-award. Failure to file a protest within the timeframe prescribed in Florida Statute 120.57(3) or failure to post required bonds constitutes a waiver of proceedings under Chapter 120, Florida Statutes.
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Other files
| File | Type | Posted |
|---|---|---|
| App B - Questions Template.xlsx | XLSX spreadsheet | |
| Att 6 - Mandatory Certification.docx | DOCX document | |
| 2425-11_RFP_CI_SRT_Vehicle_Equipment_ Install.pdf | ||
| 2425-11 RFP CI - Att 3 Price Response.xlsx | XLSX spreadsheet |
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Text version
DEPARTMENT OF FINANCIAL SERVICES
Award Preferences Form
2425-11 RFP CI
Appendix 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 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 as provided in section 287.092, F.S. |
| |_| | 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 D Rev. 4/13/26
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