Conflict_of_Interest.pdf
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- Solicitation number
- PD 25-26.009
- Issued by
- Escambia County, Florida
About this file
This is a Conflict of Interest and Litigation Statement form required for the Escambia County Animal Welfare Facility architectural and engineering services solicitation in Florida. Respondents must declare whether they have potential conflicts of interest due to other clients, contracts, or property interests related to the project, and must disclose any litigation or judgments entered against their firm by local, state, or federal entities during the past ten years. The RFQ was released on October 27, 2025, with a mandatory pre-solicitation meeting scheduled for November 7, 2025, and proposal responses due by December 2, 2025, at 10:30 am. The contract is anticipated to commence upon execution and extend for 36 months with potential renewals for additional 12-month periods. Proposals must be submitted electronically through the ProcureNow portal.
Failure to check the appropriate conflict of interest and litigation statement blocks or to provide required documentation of potential conflicts or litigation summaries may result in disqualification of the bid. The evaluation criteria include Respondent's Statement of Qualifications (20 points), Experience and Performance on Past Projects (25 points), Litigation and Claims (20 points), Current Workload (10 points), Project Specific Criteria (20 points), and Respondent's Office Location (5 points). The RFQ does not specify a budget range, set-aside designations for disadvantaged enterprises, or incumbent vendors. The successful firm will provide comprehensive design services for the approximately 50,000 square-foot facility located at 3910 N. Palafox Street in Pensacola, including programming, schematic design, construction documents, permitting, and construction administration services.
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Text version
CONFLICT/NON-CONFLICT OF INTEREST STATEMENT
CHECK ONE
[ ] To the best of our knowledge, the undersigned firm has no potential conflict of interest due to any other clients, contracts, or property interest for this project.
OR
[ ] The undersigned firm, by attachment to this form, submits information which may be a potential conflict of interest due to other clients, contracts, or property interest for this project.
LITIGATION STATEMENT
CHECK ONE
[ ] The undersigned firm has had no litigation and/or judgments entered against it by any local, state, or federal entity and has had no litigation and/or judgments entered against such entities during the past ten (10) years.
[ ] The undersigned firm, BY ATTACHMENT TO THIS FORM, submits a summary and disposition of individual cases of litigation and/or judgments entered by or against any local, state, or federal entity, by any state or federal court, during the past ten (10) years.
COMPANY NAME
AUTHORIZED SIGNATURE
NAME (PRINT OR TYPE)
TITLE
Failure to check the appropriate blocks above may result in disqualification of your bid. Likewise, failure to provide documentation of a possible conflict of interest, or a summary of past litigation and/or judgments, may result in disqualification of your bid.
CONFLICT/NON-CONFLICT OF INTEREST STATEMENT
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