FORM 3 - Statement of No involvement.pdf
PDF 68 KB Posted
- Solicitation number
- ITN-17169
- Issued by
- Palm Beach County, Florida
About this file
This is a Statement of No Involvement form (Form 3) for Invitation to Negotiate FDC-ITN-27-023, issued by the Florida Department of Corrections for the operation and management of contractor-operated correctional facilities. The form requires an authorized representative of the proposing company to certify that no member of the company, nor any person with an interest in the company, has been involved with the Florida Department of Corrections in developing the solicitation or performing a feasibility study concerning the scope of work. The document includes fields for the respondent's name, signature of authorized representative, date, and printed name and title.
This certification serves as a conflict-of-interest disclosure requirement for vendors responding to the South Bay Correctional Facility operation and management contract. Interested vendors must submit their responses through the MyFloridaMarketPlace Sourcing Event via the SAP Business Network. The procurement officer for this solicitation is Sharita Newman of the Florida Department of Corrections, located at 501 S. Calhoun Street, Tallahassee, FL 32399, with communications directed to Purchasing@FDC.MyFlorida.com with the solicitation number included in the email subject line.
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Text version
FORM 3 - STATEMENT OF NO INVOLVEMENT
FDC-ITN-27-023
Operation and Management of Contractor-Operated Correctional Facilities
I, , as an authorized representative of the proposing company, certify that no member of this company nor any person having any interest in this company has been involved with the Florida Department of Corrections to assist it in:
1. Developing this solicitation; or,
2. Performing a feasibility study concerning the statement of work, if applicable.
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 .