Appendix_B-Conf_of_Int.pdf

PDF 85 KB Posted

Attached to
Fire Alarm System Inspection Testing Certification, Term Contract State and local contract opportunity
Solicitation number
030-MJ-0225
Issued by
Polk County, Florida

About this file

The document is a Conflict of Interest Statement from Appendix B for the School Board of Polk County, Florida, related to a fire alarm system inspection, testing, and certification term contract. The form requires potential bidders to disclose any existing or past contractual, business, or personal relationships between the proposer, its subcontractors, and the District from 2020 to the present. The purpose is to identify potential conflicts of interest that might impact the bidding process for the fire alarm system inspection contract, which has an initial one-year term from March 1, 2025, to February 28, 2026.

The form emphasizes the importance of full disclosure, noting that while not every relationship constitutes a conflict of interest, failure to disclose such relationships may result in proposal disqualification. The District reserves the final determination on whether a conflict of interest exists. Proposers are instructed to provide detailed information about any relationships in the designated disclosure statement section, with an option to check a box indicating no relationships exist. The document serves as a critical component of the procurement process, ensuring transparency and ethical bidding practices for the fire alarm system inspection contract.

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Text version

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

File details come from the government source that posted it. Updated .