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 is a Conflict of Interest Statement form required by the School Board of Polk County, Florida for the Commodity Processing Foods solicitation (Bid Number 011-DW-0325). The form requires all proposers to disclose any contractual relationships existing between 2020 and the present with the School Board of Polk County, its predecessors, or any subcontractors included in the response. Proposers must also disclose any existing business or personal relationships between themselves, their principals, affiliates, subcontractors, and the District or any other entity involved in the commodity processing project. The form emphasizes that proposers should provide substantive disclosure rather than merely concluding that no conflict of interest exists, as failure to disclose relevant relationships may result in proposal disqualification, with the District retaining final determination authority regarding conflict of interest findings.
The Conflict of Interest Statement includes a checkbox option for proposers to certify that no relationships as described exist or have existed, and requires the name of the firm or respondent, the authorized representative's signature, and the date of submission. This disclosure requirement is a standard compliance mechanism within the competitive bidding process for the commodity processing foods contract, which involves processing USDA commodity products into approved end products for delivery to the District's central warehouse in Bartow, Florida, with an estimated annual contract value of $1,500,000 and a contract period beginning July 1, 2025, with potential four-year renewal options.
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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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