Dispute_Disclosure_10-4-11.pdf
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- 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 designed for potential vendors participating in the Orlando Utilities Commission (OUC) Water Materials Alliance procurement. The form requires vendors to disclose any regulatory reprimands, contract defaults, or legal disputes within the past five years by checking "YES" or "NO" boxes for three specific questions. Vendors must provide detailed explanations for any affirmative responses and certify the accuracy of their statements, understanding that any misrepresentation could result in disqualification from the contract opportunity.
The disclosure form is a standard due diligence document that helps OUC assess the legal and professional history of potential suppliers, ensuring transparency and mitigating risk in the vendor selection process. By requiring vendors to reveal past regulatory actions, contract terminations, or litigation, OUC can evaluate the reliability and performance track record of companies bidding on the Water Materials Alliance contract. The form includes a certification statement that underscores the importance of truthful disclosure and the potential consequences of providing false information.
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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 .