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 for the Florida Department of Corrections (FDC) Invitation to Negotiate (ITN-25-068) regarding 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 Moore Haven Correctional Facility management contract. The form requires bidders 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 bidding company.

The form is a standard compliance document that supports the broader procurement process for a correctional facility management contract, which involves a 985-bed minimum/medium security facility for adult males. Vendors must complete this conflict of interest disclosure as part of their comprehensive bid submission, which will be evaluated on technical merit and pricing. The contract aims to ensure transparency and ethical business practices by requiring potential contractors to self-report any relationships or ownership interests that might constitute a conflict of interest with state employment, in accordance with Chapter 112 of Florida Statutes.

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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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