FORM 04-STATEMENT OF NO PRIOR DISQUALIFYING INVOLVEMENT.pdf
PDF 134 KB Posted
- Attached to
- MyFloridaNet-3 Core Services - ITN
- Solicitation number
- ITN-12980
- Issued by
- Clay County, Leon County, Polk County, Florida
About this file
This document is Form 04 - Statement of No Prior Disqualifying Involvement for the MyFloridaNet-3 Core Services Invitation to Negotiate (ITN No. DMS-24/25-260) issued by the Florida Department of Management Services. The form certifies that the respondent has no prior disqualifying involvement in drafting the solicitation or developing implementation programs, as outlined in section 287.057(19)(c) of Florida Statutes. The form requires an authorized representative to sign and confirm the organization's eligibility to contract, specifically addressing potential conflicts of interest that would prevent participation in the procurement process.
The form is part of a comprehensive procurement process for a statewide telecommunications network infrastructure provider, with specific legal provisions preventing vendors who have been involved in feasibility studies or solicitation drafting from competing for the contract. The statute allows respondents who have merely responded to a request for information to remain eligible, ensuring a fair and competitive bidding environment. By executing this form, potential vendors attest to their compliance with state procurement regulations and their ability to participate in the MyFloridaNet-3 Core Services contract opportunity without any disqualifying prior involvement.
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Text version
ITN No.: DMS-24/25-260 Page 1 of 2 MyFloridaNet-3 Core Services
FORM 04 – STATEMENT OF NO PRIOR DISQUALIFYING INVOLVEMENT
4050 Esplanade Way Tallahassee, FL 32399-0950
850-488-2786
Ron DeSantis, Governor Pedro Allende, Secretary
FOR
MyFloridaNetwork-3
ITN NO: DMS-24/25-260
THE STATE OF FLORIDA
DEPARTMENT OF MANAGEMENT SERVICES
ITN No.: DMS-24/25-260 Page 2 of 2 MyFloridaNet-3 Core Services
FORM 04 - STATEMENT OF NO PRIOR DISQUALIFYING INVOLVEMENT
I, as an authorized representative of the Respondent, certify that nothing in section 287.057(19)(c), F.S., (below), prohibits the Respondent’s entry into any Contract resulting from this solicitation.
287.057 Procurement of commodities or contractual services. — (19)(c) A person who receives a contract that has not been procured pursuant to subsections (1)-(3) [of s.
287.057, F.S.] to perform a feasibility study of the potential implementation of a subsequent contract, who participates in the drafting of a solicitation or who develops a program for future implementation, is not eligible to contract with the agency for any other contracts dealing with that specific subject matter, and any firm in which such person has any interest is not eligible to receive such contract. However, this prohibition does not prevent a Respondent who responds to a request for information from being eligible to contract with an agency.
Name of Respondent’s Organization Signature of Authorized Representative and Date
Print Name
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