Appendix_B-COI.pdf

PDF 85 KB Posted

Attached to
Air Traffic Control Simulator
Solicitation number
012-MJ-0925
Issued by
Polk County, Florida

About this file

This document is an Appendix B Conflict of Interest Statement for a procurement opportunity with the School Board of Polk County, Florida related to an Air Traffic Control Simulator. The form requires proposers to disclose any contractual, business, or personal relationships existing between the proposer, its subcontractors, principals, or affiliates and the School District from 2020 through the present. Proposers must fully disclose any such relationships, understanding that not every relationship constitutes a conflict of interest, but failure to disclose may result in proposal disqualification.

The form provides a blank space for detailed disclosure and includes a checkbox option to indicate no relationships exist. The District retains final determination regarding potential conflicts of interest. The document emphasizes transparency in the bidding process, requiring proposers to proactively report any connections that could potentially compromise the integrity of the procurement process for the Air Traffic Control Simulator project.

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NOA-Board-012-MJ-0925.pdf PDF
012-MJ-0925_Air_Traffic_Control_Simulator_Bid_Submittals_and_Bid_Tabulation.pdf PDF
012-MJ-0925_Air_Traffic_Control_Simulator_Bid_Submittals_and_Bid_Tabulation.pdf PDF
012-MJ-0925_Air_Traffic_Control_Simulator_NRBA_final.pdf PDF
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Attachment_3__References_012-MJ-0925.pdf PDF
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Appendix_A_Deviation_Form.pdf PDF
Appendix_B-COI.pdf PDF
Attachment_2_Addendum.pdf PDF
Attachment_3__References_012-MJ-0925.pdf PDF
Appendix_A_Deviation_Form.pdf PDF
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012-MJ-0925__Air_Traffic_Simulator_ITB.pdf PDF
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012-MJ-0925__Air_Traffic_Simulator_ITB.pdf PDF
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Attachment_1_-ad-1048_Cert_debar_susp_inelig_vol_excl.pdf PDF
USDA_Non-Collusion_Affidavit-_Appendix_E.pdf PDF
Executive_Order_12549--Debarment_and_Suspension.pdf PDF
Statement_of_Principal_Place_of_Business.pdf PDF
USDA_Non-Collusion_Affidavit-_Appendix_E.pdf PDF
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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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