Attachment_2_COI.pdf

This is a Conflict of Interest Statement form for the School Board of Polk County, Florida, applicable to the Equitable Services for Private Schools RFP. Proposers, including predecessors and proposed subcontractors, are required to disclose any contractual relationships that existed between 2020 and the present with the School Board of Polk County, as well as any existing business or personal relationships between the proposer, its principals, affiliates, subcontractors, and the District or other entities involved in the project. The District seeks proposals from qualified firms to deliver comprehensive instructional programs comprising tutoring in reading, mathematics, science, and academic counseling to eligible students in private schools, professional development for private school teachers, and parent involvement activities for families of Title I participants. All three service components—tutoring, professional development, and parent involvement—must be included in submitted proposals.

The form requires proposers to provide detailed disclosure statements regarding all prior or existing relationships, emphasizing that non-disclosure of such relationships may result in proposal disqualification. Proposers must not simply conclude that no conflict of interest exists but must affirmatively disclose all relationships for District determination. Alternatively, if no relationships exist or have existed, proposers may indicate this by checking the designated box. The form requires the typed name of the firm or respondent and the authorized representative's signature and date. This procurement may result in a single source award, indicating flexibility in the District's selection approach.