FORM 2 - Notice of Conflict of Interest.pdf

This is a Form 2 - Notice of Conflict of Interest document for the Florida Department of Corrections (FDC) solicitation number ITN-25-069, related to the Operation and Management of Contractor-Operated Correctional Facilities. The form is designed to comply with Chapter 112 of Florida Statutes and requires potential respondents to disclose any potential conflicts of interest involving corporate officers, directors, agents, or employees of the State of Florida.

The document provides blank spaces for respondents to list any corporate officers or employees who are currently working for the State of Florida or its agencies, as well as any state employees who own a 5% or greater interest in the company. The form requires the respondent's name, signature of an authorized representative, date, and printed name/title. While no specific conflicts are pre-filled, the form serves as a mandatory disclosure mechanism to ensure transparency and prevent potential conflicts of interest in the state correctional facility management procurement process.