Appendix_B-Conf_of_Int.pdf

This is a Conflict of Interest Statement form (Appendix B) required for the School Board of Polk County, Florida's Request for Proposal for cafeteria, classroom, office, and library furniture procurement. The document serves as a disclosure mechanism for proposers to identify any contractual relationships that have existed between the proposer, its predecessor organizations, or any included subcontractors and the School Board of Polk County during the period from 2020 to the present. Proposers must also disclose any existing business or personal relationships between the proposer, its principals, affiliates, or subcontractors and the District or any other entity or person involved in the project. The form provides space for detailed disclosure statements and includes a checkbox option for proposers to indicate that no such relationships exist or have existed.

The statement emphasizes that proposers must provide complete disclosure of all relevant relationships without merely concluding that no conflict of interest exists. The District explicitly reserves the right to make the final determination regarding whether any disclosed relationship constitutes a conflict of interest. Failure to disclose any contractual or personal relationships as described in the statement may result in disqualification of the proposal. The form requires the typed name of the firm or respondent and the authorized representative's signature and date to certify the accuracy and completeness of the disclosure.