FORM 2 - Notice of Conflict of Interest.pdf

PDF 75 KB Posted

Attached to
Operation and Management of Contractor-Operated Correctional Facilities – Moore Haven CF
Solicitation number
ITN-12041
Issued by
Glades County, Florida

About this file

This document is a Form 2 - Notice of Conflict of Interest form for the Florida Department of Corrections (FDC) Invitation to Negotiate (ITN-25-068) for the Operation and Management of Contractor-Operated Correctional Facilities. The form is designed to disclose potential conflicts of interest for vendors participating in the solicitation process, specifically for the management of the Moore Haven Correctional Facility, a 985-bed minimum/medium security facility for adult males located in Glades County. Vendors are required to declare any corporate officers, directors, or agents who are current State of Florida employees, as well as any current state employees who own a five percent or greater interest in the company.

The form is part of a comprehensive procurement process that requires vendors to complete various compliance and ethical disclosure documents. While the form itself does not contain specific pricing or contract details, it is a critical component of the vendor qualification process for the correctional facility management contract. The solicitation seeks a contractor to provide comprehensive correctional services, with an estimated annual spend of approximately $29,822,599, structured as a per diem rate guaranteed for 90% occupancy. The initial contract term is three years, with potential renewal options for successive two-year periods, contingent upon satisfactory performance and available funding.

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FORM 2 - NOTICE OF CONFLICT OF INTEREST

FDC-ITN-25-068

Operation and Management of Contractor-Operated 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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