Appendix_B-COI.pdf
PDF 85 KB Posted
- Attached to
- 3 Brush Vehicle Wash System
- Solicitation number
- 038-MJ-0225
- Issued by
- Polk County, Florida
About this file
This document is a Conflict of Interest Statement for the School Board of Polk County, Florida, associated with a procurement opportunity for a 3 Brush Vehicle Wash System. The document requires proposers to disclose any contractual, business, or personal relationships existing between the proposer (including predecessors and subcontractors) and the School Board from 2020 through the present. Proposers must transparently report any connections to the District or entities involved in the project, with the understanding that while not every relationship constitutes a conflict of interest, failure to disclose may result in proposal disqualification.
The form provides a blank space for detailed disclosure and includes a checkbox option for proposers to indicate no relationships exist. The School Board reserves the final determination regarding potential conflicts of interest. Proposers are instructed to provide comprehensive information about relationships rather than merely stating a conclusion about conflict existence. The document emphasizes the importance of full transparency in the bidding process, requiring an authorized representative's signature to validate the disclosure statement.
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Appendix B Conflict of Interest Statement
In the space provided below, please disclose any contractual relationship that exists or has existed during any part of the period of time from year 2020 through the present between the proposer, or a predecessor organization of the proposer, or a subcontractor included in the proposer’s response to this RFP, and the School Board of Polk County, Florida.
Also, in the space provided please disclose any existing business or personal relationship between the proposer, its principals, or any affiliate or subcontractor, and the District, or any other entity or person involved in the project that is the subject of this solicitation.
If no relationships as described above exist or have existed, please indicate this by placing a check mark in the box provided below.
Not every prior or existing relationship will constitute a conflict of interest. However, each such relationship must be disclosed. Proposer should not merely state the conclusion that no conflict of interest exists. Failure to disclose any such prior or existing contractual or personal relationship as described in this section may result in disqualification of the proposal. The District will make the final determination regarding the existence of a conflict of interest.
Disclosure Statement:
No relationships exist/have existed.
Name of Firm/Respondent (Typed)
Authorized Representa�ve’s Signature Date
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