Contractual Services Acknowledgement Form.pdf
PDF 181 KB Posted
- Attached to
- 5th District Court of Appeal Security Upgrades
- Solicitation number
- ITN-14562
- Issued by
- Leon County, Florida
About this file
This is a Contractual Services Acknowledgement Form issued by the Florida State Court System's Office of the State Courts Administrator for an Invitation to Negotiate (ITN) solicitation. The 5th District Court of Appeal, located at 300 South Beach Street in Daytona Beach, Florida, seeks a qualified, experienced, and licensed Architectural and Engineering Firm to assess and recommend security upgrades to its building. The solicitation, identified as ITN# 2025-002, was released on December 8, 2025, with proposals scheduled to open on February 11, 2026, at 4:00 PM. Respondents must submit completed acknowledgement forms to the Office of the State Courts Administrator at 500 S. Duval Street, Tallahassee, Florida 32399-1900, or via email to SCS_Contracts@flcourts.gov. Proposals cannot be withdrawn prior to contract execution.
The acknowledgement form requires vendors to certify compliance with federal and state antitrust laws and to confirm that their response is made without prior understanding or collusion with other respondents. Vendors must provide complete company information, including business entity type and Federal Employer Identification Number (FEID), along with primary and secondary contact information for individuals authorized to represent the firm throughout the solicitation process. The form establishes that contract assignment, if applicable, becomes effective upon the state's tender of final payment to the respondent.
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Text version
CONTRACTURAL SERVICES ACKNOWLEDGEMENT FORM
FLORIDA STATE COURT SYSTEM
OFFICE OF THE STATE COURTS ADMINISTRATOR
INVITATION TO NEGOTIATE
PROCUREMENT PARTICIPATION - ACKNOWLEDGEMENT FORM
Page 1 of 72 Pages SUBMIT FORM TO: Office of the State Courts Administrator
General Services Office, 500 S. Duval Street Tallahassee, Florida 32399-1900 Email - SCS_Contracts@flcourts.gov
AGENCY RELEASE DATE:
December 8, 2025 SOLICITATION TITLE: Security Upgrades for the 5th District Court of Appeal SOLICITA-TION NO:
ITN# 2025-002
PROPOSALS WILL BE OPENED: February 11, 2026 @ 4:00 PM and may not be withdrawn prior to execution of a Contract.
VENDOR NAME:
*AUTHORIZED SIGNATURE (MANUAL)
*AUTHORIZED SIGNATURE (TYPED), TITLE
*This individual must have the authority to bind the Vendor.
VENDOR MAILING ADDRESS:
CITY - STATE - ZIP:
PHONE NUMBER:
FAX
NUMBER:
EMAIL ADDRESS:
FEID NO.:
TYPE OF BUSINESS
ENTITY (Corporation, LLC, partnership, etc.):
I certify that this Response is made without prior understanding, agreement, or connection with any corporation, firm, or person submitting a Proposal for the same services and is in all respects fair and without collusion or fraud. I agree to abide by all conditions of this Response, including but not limited to, certification requirements. In submitting a Response to the Judicial Branch of the State of Florida, the Respondent certifies compliance with the Anti-trust laws of the United States and the State of Florida for price fixing relating to the particular commodities or services purchased or acquired by the State of Florida. At the State's discretion, such assignment shall be made and become effective at the time the purchasing entity tenders final payment to the Respondent.
Please provide the name, title, address, telephone number and email address of the official contact and an alternate, if available. These individuals shall be available to be contacted by telephone or attend meetings as may be appropriate regarding the solicitation schedule.
PRIMARY CONTACT: SECONDARY CONTACT:
NAME, TITLE: NAME, TITLE:
ADDRESS: ADDRESS:
PHONE NUMBER: PHONE NUMBER:
EMAIL ADDRESS: EMAIL ADDRESS:
mailto:SCS_Contracts@flcourts.org
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