Addendum_3_-_Contact_Information.dotx.pdf
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- Attached to
- Occupational Health Program Services
- Solicitation number
- 25079-RFP-MST
- Issued by
- Florida
About this file
This document is an Addendum (#3) to a Competitive Solicitation issued by Hillsborough County Public Schools in Tampa, Florida for Occupational Health Program Services, identified by solicitation number 25079-RFP-MST. The addendum, dated June 25, 2025, modifies the original competitive solicitation by adding a Contact Information & Certification form to the bid package. Potential bidders are required to acknowledge receipt of this addendum when submitting their proposal and must consider the changes outlined in the document.
The attached Contact Information & Certification form requires proposers to provide detailed local and corporate information, including account representative details, company structure, and certification status. The form includes options for vendors to indicate their business type (Corporation, Sole Proprietor/Partnership, Limited Liability Corp.), Workers' Compensation exemption status, and Small, Minority, Women, and Black Enterprise (SMWBE) certification with various local and state agencies such as the City of Tampa, Hillsborough County, and the Florida State Minority Supplier Development Council.
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Text version
HillsboroughSchools.org • P.O. Box 3408 • Tampa, FL 33601-3408 • (813) 272-4000 Raymond O. Shelton School Administrative Center • 901 East Kennedy Blvd. • Tampa, FL 33602-3507
Superintendent of Schools Van Ayres
PROCUREMENT SERVICES
ADDENDUM TO COMPETITIVE SOLICITATION
June 25, 2025
Competitive Solicitation No. and Name: 25079-RFP-MST Occupational Health Program Services
Addendum #: 3
NOTICE TO ALL POTENTIAL BIDDERS/PROPOSERS/RESPONDENTS
The above-referenced competitive solicitation is modified as outlined in this addendum. The original competitive solicitation documents and any previously issued addenda remain in full force and effect, except as modified by this addendum, which is hereby made part of the competitive solicitation. Respondents must consider this Addendum when preparing and submitting their bid/proposal/quote/reply.
1. This Addendum amends the above-referenced solicitation in the following particulars only:
Section Description of Change Attachment The referenced Section is hereby added to the competitive solicitation and shall hereafter be read as follows:
Contact Information
This Addendum shall be construed and governed by the laws of the State of Florida.
Sincerely, Rebecca Baez, Procurement Officer
THE BIDDER/PROPOSER/RESPONDENT MUST ACKNOWLEDGE RECEIPT OF THIS ADDENDUM WITH YOUR
BID/PROPOSAL/REPLY ON THE FORM PROVIDED IN THE COMPETITIVE SOLICITATION.
Hillsborough County Public Schools Page 1 of 1 25079-RFP-MST Occupational Health Program Services
CONTACT INFORMATION & CERTIFICATION
The proposer must supply the information listed below for consideration. In case of a dispute or if further clarification becomes necessary, please indicate your representative’s contact information. The General Manager of Procurement Services shall serve as the District’s representative.
Local Contact Information
Account Representative Name Title
Local Address
Phone Number Cell Phone Number
Email Address Fax Number
X Signature of Owner or Authorized Officer Date
Corporate Information
Representative's Name Telephone Number
Company Name
Principal Place of Business Address
Remit-To Address (if different from above)
☐ Corporation ☐ Sole Proprietor/Partnership ☐ Limited Liability Corp.
FEIN or SS# ________________________________ ☐ Other. ______________________________________ The preferred method to receive a purchase order. ☐ US Mail ☐ Fax ☐ Yes ☐ No. Is the vendor Workers’ Compensation Exempt? If Yes, attach proof of exemption.
☐ Yes ☐ No. Is your company registered as an SBE with the HCPS Office of Supplier Diversity?
☐ Yes ☐ No. Is your company SMWBE certified with any of the following agencies?
• City of Tampa,
• FL. Statewide & Inter-Local Certification,
• Hillsborough County BOCC,
• Florida State Minority Supplier Development Council, or
• City of St. Petersburg.
1. This Addendum amends the above-referenced solicitation in the following particulars only:
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