Attachment_5_Respondent’s_Statement_of_Qualification.pdf

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Attached to
Equitable Services for Private Schools
Solicitation number
019-MJ-0326
Issued by
Polk County, Florida

About this file

This is a Statement of Qualification attachment for a Request for Proposals issued by the School Board of Polk County, Florida, seeking qualified proposers to deliver equitable services for private schools. The District requires respondents to propose all three service components: instructional programs (tutoring) in reading, mathematics, science, academic counseling, and other subjects as determined through consultation with private school and District personnel for eligible students in private schools; professional development for private school teachers; and parent involvement activities for parents of eligible Title I participants. The scope of required services and responsibilities is detailed in Section 3 of the RFP.

The Statement of Qualification document requires vendors to disclose their financial and operational standing through written responses to seven questions addressing contract defaults, forfeited performance bonds, uncompleted contract assignments, bankruptcy filings within the past three years, pending litigation that could materially affect financial position, involvement in mergers or acquisitions, and any regulatory or license agency sanctions. Vendors must provide full descriptions of circumstances, reasons, status, and ultimate disposition for any affirmative responses. The document requires the respondent firm name, authorized representative signature, and date. The District reserves the right to conduct background checks with state and regulatory agencies.

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Text version

Attachment 5, Respondent’s Statement of Qualification

Please provide written responses to the following questions. If the answer to any of the questions is “Yes,” Vendor shall describe fully the circumstances, reasons therefore, the status, and ultimate disposition of each matter that is the subject of this inquiry.

1. Has Vendor been declared in default of any contract? Yes No

2. Has Vendor forfeited payment of performance bond issued by a surety company on any contract?

Yes No

3. Has an uncompleted contract been assigned by Vendor’s surety company on any payment of performance bond issued to Vendor arising from its failure to fully discharge all contractual obligations thereunder? Yes No

4. Within the past three (3) years, has Vendor filed for reorganization, protection from creditors, or dissolution under the bankruptcy statutes? Yes No

5. Is Vendor now the subject of any litigation in which an adverse decision might result in a material change in the respondent’s financial position or future viability? Yes

No

6. Is Vendor currently involved in any state of a fact-finding, negotiations, or resistance to a merger, friendly acquisition, or hostile take-over, either as a target or as a pursuer? Yes

No

7. License Sanctions: List any regulatory or license agency sanctions. The District may perform a background check on respondent with all state and regulatory agencies.

Name of Firm/Respondent (Typed)

Authorized Representative’s Signature Date

Attachment 1, Respondent’s Statement of Qualification

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