FORM 2 - Notice of Conflict of Interest.pdf
PDF 75 KB Posted
- Attached to
- Operation and Management of Contractor-Operated Correctional Facilities – Gadsden Correctional Facil
- Solicitation number
- ITN-11913
- Issued by
- Glades County, Florida
About this file
This is a Notice of Conflict of Interest form (Form 2) for the Florida Department of Corrections (FDC) Invitation to Negotiate (ITN) number FDC-ITN-24-052, specifically for the Operation and Management of Private Correctional Facilities. The document is a standardized disclosure form requiring potential respondents to identify any conflicts of interest as outlined in Chapter 112 of Florida Statutes, with specific sections for listing corporate officers, directors, or agents who are current state employees, as well as current state employees who own a 5% or greater interest in the responding company.
The form provides blank spaces for respondents to disclose any potential conflicts, with instructions to write "N/A" if no conflicts exist. It requires a signature from an authorized representative of the company, along with the printed name and title, to validate the disclosure. The solicitation appears to be related to private correctional facility management, suggesting a significant government procurement opportunity for private sector involvement in corrections operations.
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Text version
FORM 2 - NOTICE OF CONFLICT OF INTEREST
FDC-ITN-24-052
Operation and Management of Private Correctional Facilities
For the purpose of participating in the solicitation process and complying with the provisions of Chapter 112, Florida Statutes, the company states the following conflict(s) of interest exists as noted below (if none, write N/A in the applicable section(s) below):
The persons listed below are corporate officers, directors, or agents and are currently employees of the State of Florida or one of its agencies:
The persons listed below are current State of Florida employees who own an interest of five percent (5%) or more in the company named above:
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 .