Conflict_of_Interest.pdf
PDF 166 KB Posted
- Solicitation number
- 26-P-00009
- Issued by
- Hillsborough County, Florida
About this file
This is a Conflict of Interest Disclosure form required by the City of Tampa for proposers responding to the Professional Building Plan Review & Inspections Services Request for Qualifications. The form mandates that all proposers disclose any associations between their business and elected or appointed City of Tampa officials, City employees, or their immediate family members and close personal relations. Proposers must indicate whether such associations exist and, if so, provide the names and positions of the individuals involved. The RFQ was released on October 27, 2025, with proposals due by November 17, 2025, at 4:30 pm. A non-mandatory pre-proposal meeting is scheduled for November 4, 2025. The City intends to pre-qualify a minimum of three respondents to provide ongoing and as-needed plan review and inspection services for residential and commercial structures within City limits, covering building, electrical, mechanical, and plumbing trade categories in accordance with Florida Statutes 468, 471, and 481. The contract term is anticipated to be one year with options for three additional one-year renewals.
The disclosure form defines immediate family as spouse, parents, and children, while close personal relations include dating, cohabitation, or intimate sexual relationships. A controlling financial interest is defined as direct or indirect ownership of ten percent or more of outstanding capital stock or equivalent interest in a business entity sufficient to control operations. Proposers must complete the form by printing their firm name, individual name, title, and date, along with a signature certifying the accuracy of their disclosure. The City's evaluation criteria include cost to the city (10 points), firm experience and project team qualifications (30 points), references (15 points), understanding of scope of work (25 points), criminal history screening practices (5 points), and Small Local Business Enterprise participation (15 points). Compensation will be structured as an all-inclusive unit price per hour model with no additional amounts permitted beyond the established rate.
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Text version
Conflict(s) of Interest
For purposes of determining any possible conflict of interest, all proposers, must disclose if any elected or appointed officer of the City of Tampa, City of Tampa employee(s), or any immediate family member* or close personal relation** of an elected or appointed officer of the City of Tampa or City employee(s) is also an owner, corporate officer, agent, employee, stockholder, or has a controlling financial interest***, etc., of their business.
*Immediate family means spouse, parents and children of the person involved.
**Close personal relationship means dating, cohabitation, and/or having an intimate sexual relationship.
Dating includes but is not limited to casual dating, serious dating, or casual sexual involvement where the parties have no intention of carrying on a long-term relationship, cohabitation, and any other conduct or behavior normally associated with romantic or sexual relationships. This definition applies regardless of the sexual orientation of the employees involved. Persons involved in a close personal relationship shall be referred to as a "close personal relation."
***Controlling financial interest means ownership, directly or indirectly, to ten (10) percent or more of the outstanding capital stock in any corporation or a direct or indirect interest of ten (10) percent or more in a firm, partnership, or other business entity or such other interest or position in a business entity sufficient to allow him or her to control its operations.
Indicate either “yes” (a City employee, elected or appointed official is also associated with your business), or “no”. If yes, give person(s) name(s) and position(s) with your business.
YES _____ NO _____
NAME(S) / POSITION(S)
FIRM NAME: _____________________________________________________________ ___
BY (PRINTED NAME): ________________________________________________________________
BY (SIGNATURE): ___________________________________________________________________
TITLE: ____________________________________________________________________________
DATE:
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