Attachment F - Resume Self-Certification Form.pdf
PDF 86 KB Posted
- Attached to
- Prequalification for Information Technology Staff Augmentation Services ITB (Supplemental 2026)
- Solicitation number
- ITB-16584
- Issued by
- Leon County, Florida
About this file
This is a Resume Self-Certification Form attachment for the Florida Department of Management Services' Prequalification for Information Technology Staff Augmentation Services contract. The form is required to be completed by contractor candidates and submitted within the contractor's response to customer requests for quotes under Contract No. 80101507-23-STC-ITSA. The document establishes the framework for candidates to certify the accuracy and completeness of their resume information submitted for consideration of State of Florida contract positions. Candidates must acknowledge that they understand the penalties for misrepresentation, including potential disqualification, civil and criminal penalties under Florida Statutes sections 287.133 and 817.566, and possible reporting to the U.S. Department of Homeland Security for immigration violations. The form requires the candidate's printed legal name, signature, and date, along with identification information and witnesses from the contractor.
The self-certification form mandates that candidates consent to the release of their information by employers, educational institutions, law enforcement agencies, and other organizations to Florida investigators and authorized agents for verification and investigation purposes. Candidates must also acknowledge that all documents submitted to procure contracts with the State of Florida, including resumes, constitute public records subject to disclosure. The form requires signatures from two contractor witnesses with printed names and dates, establishing a formal verification process that protects the integrity of the prequalification process for information technology staff augmentation services across the state.
View the file
Other files
Show all 18
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Attachment F, Resume Self-Certification Form
Information Technology Staff Augmentation Services Contract No. 80101507-23-STC-ITSA
Contractor’s candidates shall complete this Resume Self-Certif ication Form. Completed Resume Self-Certif ication Forms shall be submitted within the Contractor’s response to Customer’s Request for Quotes.
“I the undersigned do hereby certify, under the penalty of perjury, that information in my resume submitted for consideration of the State of Florida contract position is true, correct, complete, and made in good faith to the best of my knowledge and belief. If an omission, falsif ication, misstatement, or misrepresentation has been made regarding my education, work ability, experience, employment history, and/or fitness for employment as a contractor, I may be disqualif ied as a contractor, and the matter will be reported to appropriate agency or law enforcement personnel. I understand that there may be civil and/or criminal penalties for misrepresenting pertinent information in connection with contract positions, including, but not limited to, penalties available under sections 287.133 or 817.566, Florida Statutes. I further understand that if I am not a United States citizen, violation cases may be reported to the US Department of Homeland Security for potential deportation.”
“In addition, I the undersigned do hereby consent to the release of my information by employers, educational institutions, law enforcement agencies, and other individuals and organizations to investigators and other authorized agents of Florida for verif ication and investigation purposes.
I understand that any documents submitted to procure a contract(s) with the State of Florida, including resumes, are public records.”
Print Full Legal Name of Candidate
Candidate’s Signature Date
Candidate’s Form of Identif ication Presented Identif ication number
Contractor’s Witness Signature One Date Contractor’s Witness Signature Two Date
Print Name Contractor’s Witness One Print Name Contractor’s Witness Two
File details come from the government source that posted it. Updated .