Conflict_of_Interest.pdf

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Attached to
Architectural and Engineering Services - New Escambia County Animal Welfare Facility
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 or by their firm against 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. Proposals must be submitted electronically through the ProcureNow portal. The contract is anticipated to commence upon execution and extend for 36 months, with potential renewals for additional 12-month periods. 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).

Firms must complete this certification form and check the appropriate boxes indicating either no conflicts of interest or submission of documented conflicts, and either no litigation history or provision of a summary of past litigation and judgments. Failure to check the appropriate blocks or provide required documentation may result in disqualification. The RFQ does not specify set-aside designations, incumbent vendors, or a specific budget range, though the scope of work for the 50,000 square-foot facility suggests a significant investment in design and construction administration services.

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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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