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 a Form 04 - Statement of No Prior Disqualifying Involvement for the MyFloridaNetwork-3 project, issued by the Florida Department of Management Services under Invitation to Negotiate (ITN) No. DMS-24/25-260. The form is a certification document that ensures potential respondents have not been previously involved in drafting the solicitation or developing implementation programs that would disqualify them from contracting with the agency.
The form references Florida Statute 287.057(19)(c), which prohibits entities that have performed feasibility studies, participated in solicitation drafting, or developed implementation programs from receiving contracts related to that specific subject matter. The document provides a blank template for a respondent's authorized representative to certify their organization's eligibility to enter into a contract resulting from this solicitation, with spaces for the organization's name, signature, and date.
View the file
Other files
Show 40 more
50 files listed here. See the rest on GovTribe.
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
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
File details come from the government source that posted it. Updated .