Conflict_of_Interest_Statement.pdf

PDF 114 KB Posted

Attached to
Commodity Processing Foods
Solicitation number
011-DW-0325
Issued by
Polk County, Florida

About this file

This document is a Conflict of Interest Statement for a bid opportunity with the School Board of Polk County, Florida. The form requires potential bidders to disclose any existing or past contractual, business, or personal relationships between the proposer (or its subcontractors) and the School Board of Polk County from 2020 to the present. The document emphasizes that while not every relationship constitutes a conflict of interest, all relationships must be fully disclosed.

The statement warns that failure to disclose any relevant relationships may result in proposal disqualification, and the District retains the final determination on conflict of interest. The form provides a space for respondents to either check a box indicating no relationships exist or to detail any relationships that may need to be disclosed. Proposers are instructed to provide specific information rather than merely stating a conclusion about potential conflicts, with the understanding that the District will make the ultimate judgment on the significance of any disclosed relationships.

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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

File details come from the government source that posted it. Updated .