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 document is a Notice of Conflict of Interest (Form 2) for the Florida Department of Corrections' Invitation to Negotiate (ITN) FDC-ITN-24-052 regarding the Operation and Management of Private Correctional Facilities. The form is designed to identify potential conflicts of interest for companies participating in the solicitation process, specifically requiring disclosure of any corporate officers, directors, or agents who are current State of Florida employees, as well as any current State of Florida employees who own a 5% or greater interest in the company.
The form is part of a procurement process for operating and managing the Gadsden Correctional Facility, with the goal of ensuring transparency and compliance with Chapter 112 of Florida Statutes. Potential bidders must complete this form to be considered for the contract, which involves the operation and management of a private correctional facility. The form requires full disclosure of any potential conflicts of interest, with space provided for listing any relevant personnel or ownership stakes that might create a conflict with state employment.
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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
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