Dispute_Disclosure_10-4-11.pdf
PDF 10 KB Posted
- Attached to
- Water Materials Alliance
- Solicitation number
- PR8286
- Issued by
- Orange County, Orlando City, Florida
About this file
The document is a Dispute Disclosure form, likely associated with the Orlando Utilities Commission's (OUC) Water Materials Alliance procurement process. The form requires prospective vendors to disclose any regulatory reprimands, contract defaults, or legal disputes within the past five years by marking "YES" or "NO" to three specific questions. Vendors must provide detailed explanations for any affirmative responses, and the form includes a certification that all statements are true, with a warning that any misstatement could result in disqualification from the project consideration.
The form is designed to provide transparency about a firm's professional history and potential risk factors, allowing OUC to assess the reliability and performance track record of potential suppliers. By requiring vendors to report regulatory actions, contract terminations, and litigation history, the document serves as a due diligence tool to mitigate potential procurement risks. The form includes signature lines for the firm's authorized representative, including spaces for the firm name, date, officer title, and printed name, ensuring accountability and formal documentation of the disclosed information.
View the file
Other files
Show all 45
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
DISPUTE DISCLOSURE
Answer the following questions by placing an "X" in the appropriate "YES" or "NO" box. If you answer "YES", please explain In the space provided, or via attachment.
Has your firm, or any of its officers, received a reprimand of any nature or been suspended by the Department of Professional Regulation or any other regulatory agency or professional association within the last five (5) years?
YES NO
Has your firm, or any member of your firm, been declared in default, terminated or removed from a contract or job related to the services your firm provides in the regular course of business within the last five (5) years?
YES NO
Has your firm had filed against it or filed any requests for equitable adjustment, contract claims or litigation in the past five (5) years that is related to the services your firm provides in the regular course of business?
YES NO
If yes, state the nature of the request for equitable adjustment, contract claim or litigation, a brief description of the case, the outcome or status of suit and the monetary amounts or extended contract time involved.
I hereby certify that all statements made are true and agree and understand that any misstatement or misrepresentation or falsification of facts shall be cause for forfeiture of rights for further consideration of this project.
Firm Date
Authorized Signature Officer Title
Printed or Typed Name
File details come from the government source that posted it. Updated .