Conflict_of_Interest_Statement.pdf
PDF 114 KB Posted
- Attached to
- Serving Counters FY2025 State and local contract opportunity
- Solicitation number
- 008-DW-1225
- Issued by
- Polk County, Florida
About this file
The document is a Conflict of Interest Statement for a procurement opportunity with the School Board of Polk County, Florida, related to serving counters for fiscal year 2025. The form requires proposers to disclose any existing or past contractual, business, or personal relationships between the proposing firm, its principals, subcontractors, and the School Board of Polk County from 2020 to the present.
The statement emphasizes that while not every relationship constitutes a conflict of interest, all relationships must be fully disclosed. Failure to disclose such relationships may result in proposal disqualification, with the District retaining final determination on conflict of interest status. The form provides space for detailed disclosure and includes a checkbox option to indicate no relationships exist. Proposers are instructed to provide specific details rather than simply stating no conflict exists, highlighting the importance of transparency in the procurement process.
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Text version
Conflict of Interest Statement
In the space provided below, please disclose any contractual relationship that exists or has existed during any part of the period of time from year 2020 through the present between the proposer, or a predecessor organization of the proposer, or a subcontractor included in the proposer’s response to this RFP, and the School Board of Polk County.
Also, in the space provided please disclose any existing business or personal relationship between the proposer, its principals, or any affiliate or subcontractor, and the District, or any other entity or person involved in the project that is the subject of this RFP.
If no relationships as described above exist or have existed please indicate this by placing a check mark in the box provided below.
Not every prior or existing relationship will constitute a conflict of interest. However, each such relationship must be disclosed. Proposer should not merely state the conclusion that no conflict of interest exists. Failure to disclose any such prior or existing contractual or personal relationship as described in this section may result in disqualification of the proposal. The District will make the final determination regarding the existence of a conflict of interest.
Disclosure Statement:
No relationships exist/have existed
Name of Firm/Respondent (Typed)
Authorized Representative’s Signature Date
Conflict of Interest Statement
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