FORM 1 - Contact Information.pdf

PDF 132 KB Posted

Attached to
Operation and Management of Contractor-Operated Correctional Facilities – Blackwater CF
Solicitation number
ITN-17259
Issued by
Santa Rosa County, Florida

About this file

This is a Contact Information Form (Form 1) for the Florida Department of Corrections Invitation to Negotiate (ITN) FDC-ITN-27-022 regarding the operation and management of the Blackwater River Correctional Facility. The form functions as a certification document requiring an authorized representative of a respondent organization to provide solicitation and contractual contact information. Respondents must designate a primary contact person for solicitation purposes and may specify a separate contact for contractual purposes should their organization be awarded the contract. The form requires the respondent to submit their name, title, company name, address, telephone number, facsimile number, and email address, along with the signature and printed name and title of the authorized representative and the submission date.

The related solicitation indicates that responses must be submitted through the MyFloridaMarketPlace Sourcing Event via the SAP Business Network. Sharita Newman serves as the Procurement Officer for the Florida Department of Corrections, located at 501 S. Calhoun Street, Tallahassee, Florida 32399, with email correspondence directed to Purchasing@FDC.MyFlorida.com. All emails to the procurement officer must include the solicitation number in the subject line. The form itself contains no specific information regarding pricing, set-asides, incumbent contractors, contract term, renewal options, or funding sources.

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Text version

FORM 1 – CONTACT INFORMATION

FDC-ITN-27-022

Operation and Management of Contractor-Operated Correctional Facilities

By completing and signing this form, the person submitting the Reply certifies he/she is authorized to respond to this solicitation on the Respondent’s behalf.

For solicitation purposes, the Respondent’s contact person shall be:

For contractual purposes, should the Respondent be awarded, the contact person shall be (if this column is blank, the contact person for solicitation purposes shall be the contract person for contractual purposes):

Name:

Title:

Company Name:

Address:

Telephone:

Fax:

Email:

Respondent’s Name Signature of Authorized Representative

Date Print Name/Title

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

File details come from the government source that posted it. Updated .