Addendum_2.pdf
PDF 236 KB Posted
- Solicitation number
- RFA-5-26-06
- Issued by
- Brevard County, Florida
About this file
This addendum is issued by Brevard County's Housing and Human Services Department for the Community Development Block Grant (CDBG) Public Services Program Request for Application RFA-5-26-06. Addendum 2, dated July 30, 2026, supplements the original application package and includes two critical certifications that were previously missing: the Conflict of Interest Certification and Program Certification forms. The application submission deadline remains August 5, 2026 at 11:00 a.m., and all other terms and conditions of the original RFA remain unchanged. Prospective contractors are required to acknowledge receipt of this addendum with their application submissions.
The Conflict of Interest Certification requires applicants to execute either Section I, certifying that no Brevard County Board of County Commissioners official or employee with a material financial interest in the company exists, or Section II, documenting any such officials or employees with interests exceeding 5% and confirming that appropriate conflict of interest statements have been filed prior to bid opening. The Program Certification requires the authorized agency official to certify that all application information is accurate, that the request aligns with the organization's incorporation documents and mission, that funds will not supplant existing resources, that the Board of Directors has authorized the application filing, and that the agency commits to compliance with all applicable federal and state statutes, terms, and conditions governing program implementation and fiscal accountability.
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Text version
Purchasing Services 2725 Judge Fran Jamieson Way
Building C, Room 303 Viera, Florida 32940
Community Development Block Grant (CDBG) Public Services Program
RFA-5-26-06
July 30, 2026 Addendum 2
TO ALL PROSPECTIVE CONTRACTORS
This is an Addendum to and shall be considered as part of the original Application package for the above-mentioned Request for Application. Contractors are requested to acknowledge receipt of this Addendum with their Application.
NOTE: The Addendum includes the Conflict of Interest Certification and Program Certification, which were missing from the Application (Attachment A).
Please note that the application opening date and time remains August 5, 2026 @ 11:00 am.
All other terms and conditions remain unchanged.
Sincerely, Mary Bowers Purchasing Manager
END OF ADDENDUM NO. 2
HOUSING AND HUMAN SERVICES DEPARTMENT
FY 2026-27 COMMUNITY DEVELOPMENT BLOCK GRANT PUBLIC SERVICES
RFA-5-26-06
CONFLICT OF INTEREST CERTIFICATION
Applicant must execute either Section I or Section II relative to Florida Statute 112.313(12).
Failure to execute the appropriate section may result in rejection of this proposal.
Section I
I hereby certify that no official or employee of the Brevard County Board of County Commissioners requiring the goods for services described in these specifications has a material financial interest in this company.
Company Name: ____________________________________________________________
Business Address: ___________________________________________________________
Type or Printed Name of Official: ________________________________________________
Signature: __________________________________________________________________
Section II
I hereby certify that the following named Brevard County Board of County Commissioner’s official(s) and employee(s) having material financial interest(s) (in excess of 5%) in this company and have filed Conflict of Interest statements with the Brevard County Housing and Human Services Department, prior to bid opening.
Employee Name: _____________________________________________________
Title or Position: _____________________________________________________
Date of Filing: _____________________________________________________
Employee Name: _____________________________________________________
Title or Position: _____________________________________________________
Date of Filing: _____________________________________________________
Company Name: ____________________________________________________________
Business Address: ___________________________________________________________
Type or Printed Name of Official: ________________________________________________
Signature: __________________________________________________________________
HOUSING AND HUMAN SERVICES DEPARTMENT
FY 2026-27 COMMUNITY DEVELOPMENT BLOCK GRANT PUBLIC SERVICES
RFA-5-26-06
PROGRAM CERTIFICATION
PROGRAM CERTIFICATION
I do hereby certify that all facts, figures, and representations made in the application are true and correct, and that the purpose of this request is consistent with our organization’s Article of Incorporation, By-Laws and Mission. Furthermore, all applicable statutes, terms, conditions, regulations and procedures for program compliance and fiscal control will be implemented to ensure proper accountability of grant funds. I certify that the funds requested in this application will not supplant funds that would otherwise be used for the purposes set forth in this project.
The filing of this application has been authorized by the Agency Board of Directors, and I have been duly authorized to act as the representative of the agency in all matters in connection with this application. I also agree to follow all terms, conditions, and applicable federal and state statutes.
Type or Print Authorized Official’s Name Authorized Official’s Title
Authorized Official’s Signature Date
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