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. Respondent firms 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 them or by them against local, state, or federal entities within 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 via the ProcureNow portal. The contract is anticipated to commence upon execution and extend for 36 months with potential renewals for additional 12-month periods. Firms must submit electronically with proper authorization signatures and documentation.
Failure to check the appropriate conflict of interest and litigation statement blocks, or failure to provide required documentation of potential conflicts or litigation summaries, will result in disqualification of the bid. The evaluation criteria allocate 20 points for litigation and claims history, indicating the significance of this disclosure in the competitive selection process. No specific budget range or set-asides for disadvantaged enterprises are mentioned in the solicitation documentation. The project involves designing a 50,000 square-foot state-of-the-art animal welfare facility at 3910 N. Palafox Street in Pensacola on a 15.2-acre parcel, with comprehensive design services including programming, schematic design, construction documents, permitting, and construction administration required from the selected firm.
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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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