FORM 3 - Statement of No involvement.pdf

PDF 68 KB Posted

Attached to
Operation and Management of Contractor-Operated Correctional Facilities – South Bay CF
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.

View the file

Other files

File Type Posted
FORM 2 - Notice of Conflict of Interest.pdf PDF
Attachment H - Current Facility Program Plan - South Bay.pdf PDF
FORM 1 - Contact Information.pdf PDF
FORM 7 - Pass Fail Requirement Certification and Non-Collusion Certification.pdf PDF
FORM 5 - Subcontracting.pdf PDF
Attachment B - South Bay Fixtures, Furnishings & Equipment Inventory.pdf PDF
FORM 8 - PUR1355 Foreign Country of Concern Attestation.docx DOCX document
Attachment L - Reference Questionnaire.docx DOCX document
FORM 9 - PUR 7801 Vendor Certification Form.docx DOCX document
FORM 10 - PUR 2023 and PUR 2024 Combined.pdf PDF
Attachment G - Florida Department of Corrections Alphabetical State Drug Formulary August 2026.pdf PDF
Attachment E - South Bay Operating Per Diem.pdf PDF
Attachment J - Confidentiality and Non-Disclosure Agreement.pdf PDF
ITN-27-023 Contractor Operated CF SBay Final.pdf PDF
FORM 12 - REPLY BOND FORM.docx DOCX document
Exhibit K - Quarterly Performance Measures and Deliverables - South Bay.pdf PDF
Exhibit M - 27-28 IWTF Request Template.pdf PDF
FORM 6 - Mandatory Responsiveness Requiements.pdf PDF
Attachment F - Florida Department of Corrections Menu 2025-2026.pdf PDF
FORM 4 - Business Experience.pdf PDF
Attachment C - South Bay Price Sheet.xlsx XLSX spreadsheet
Exhibit J - Transition Schedule Requirements - South Bay.pdf PDF
FORM 11 - DRUG FREE WORKPLACE.pdf PDF
Attachment M - Business Associate Agreement for HIPPA.docx DOCX document
Exhibit I - Transition Plan Requirements - South Bay.pdf PDF
Show all 25

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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 .