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 the School Board of Polk County, Florida, associated with an Air Traffic Control Simulator procurement. The form requires potential bidders to disclose any existing contractual, business, or personal relationships between the proposer (including predecessors and subcontractors) and the School Board from 2020 to the present. Proposers must transparently report any connections that could potentially constitute a conflict of interest, with the understanding that failure to fully disclose such relationships may result in proposal disqualification.
The document emphasizes that not every prior or existing relationship automatically constitutes a conflict of interest, but each must be documented. The District retains final determination on whether a disclosed relationship represents an actual conflict. Proposers are instructed to provide detailed information in the designated disclosure statement section, with an option to check a box indicating no relationships exist. The form requires the firm's name and an authorized representative's signature, underlining the formal and legally binding nature of the conflict of interest disclosure process.
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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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