Conflict_of_Interest_Statement.pdf
PDF 127 KB Posted
- Attached to
- School Nutrition Consumable Supplies - Stock
- Solicitation number
- 002-RW-0727
- Issued by
- Polk County, Florida
About this file
This is a Conflict of Interest Statement form for the School Board of Polk County, Florida, related to a one-year contract solicitation for School Nutrition consumable supplies to be delivered to the district warehouse in Bartow, Florida. The statement requires proposers to disclose any contractual relationships that have existed between January 2020 and the present with the School Board of Polk County, as well as any existing business or personal relationships between the proposer, its principals, affiliates, or subcontractors and the District or other entities involved in the project. Proposers must provide detailed disclosures rather than simply stating that no conflicts exist, as failure to disclose relevant relationships may result in proposal disqualification.
The District reserves the right to make the final determination regarding whether disclosed relationships constitute actual conflicts of interest. Proposers may indicate that no relationships exist by checking the provided box and must include the firm or respondent name, authorized representative's signature, and date on the form. This conflict of interest disclosure is a standard requirement intended to ensure transparency and maintain the integrity of the procurement process for school nutrition supplies.
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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 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 solicitation, 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 solicitation.
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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