Attachment B_Vendor Responsibility Disclosure.pdf
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- Attached to
- Managed Information Technology Services
- Solicitation number
- RFP-12281
- Issued by
- Polk County, Florida
About this file
This document is a Vendor Responsibility Disclosure form for RFP# 24-04 issued by the Florida Department of Citrus (FDOC) for Managed Information Technology Services. The form is an attachment requiring potential vendors to disclose critical information about their organizational history and legal standing within the past 5 years. Specifically, vendors must provide detailed explanations and documentation if they answer "Yes" to any of seven key questions, including whether they have been subject to civil litigation, criminal judgments, contract terminations, bankruptcy proceedings, or organizational changes.
The disclosure questions are designed to comprehensively assess a vendor's reliability and responsible business practices before being considered for the Managed Information Technology Services contract. By requiring vendors to self-report potential issues such as legal actions, contract suspensions, license revocations, and structural changes, FDOC aims to mitigate risks and ensure they select a vendor with a stable and transparent business history. Vendors must provide a one-page written explanation for any affirmative responses and attach supporting documentation, giving the department the ability to thoroughly evaluate the vendor's qualifications and potential risks prior to contract award.
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Text version
RFP# 24-04
Managed Information Technology Services
Attachment B: Vendor Responsibility Disclosure 1 of 1
Attachment B: Vendor Responsibility Disclosure
Respondents shall complete and submit answers to the questions set forth below. For each affirmative answer, Respondents shall provide a detailed, written explanation (1 page) relevant to the issue and attach copies of documents relevant to the written explanation(s) provided (unlimited pages). The Department reserves the right to request additional information, as needed, to determine a Respondent’s Responsibility pursuant to section 287.012(25), F.S.
I, _____________________________________ am the ________________________________ of
(Authorized Representative’s Name) (Title)
_______________________________________, (the “Vendor”), and am authorized to represent and
(Vendor’s Legal Name) contractually bind Vendor. Having been duly sworn, I do hereby attest, to the best of my knowledge and belief, the following:
Within the past 5 years, has the vendor:
1. Been the subject of civil litigation or settlements? ☐No ☐Yes
2. Been subject to criminal judgments or administrative actions? ☐No ☐Yes
3. Been suspended or barred from participation in any competitive process or contract award?
☐No ☐Yes
4. Had any licenses or certifications suspended, revoked, or canceled? ☐No ☐Yes
5. Had any contracts or agreements terminated for cause? ☐No ☐Yes
6. Been the subject of bankruptcy proceedings? ☐No ☐Yes
7. Undergone a major change of organizational structure, ownership, or name? ☐No ☐Yes
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