FORM 3 - Statement of No Involvement.pdf

PDF 68 KB Posted

Attached to
Operation and Management of Contractor-Operated Correctional Facilities – Blackwater CF
Solicitation number
ITN-17259
Issued by
Santa Rosa County, Florida

About this file

This document is Form 3 - Statement of No Involvement, a certification form required as part of the Florida Department of Corrections Invitation to Negotiate (ITN-27-022) for the operation and management of the Blackwater River Correctional Facility. The form requires an authorized representative of the proposing company to certify that neither 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 any feasibility study concerning the statement of work, if applicable. The form includes designated spaces for the respondent's name, signature of the authorized representative, date, and printed name and title of the signatory.

This certification statement serves as a conflict-of-interest disclosure mechanism to ensure competitive integrity and impartiality in the procurement process. All interested vendors must submit their responses to the solicitation through the MyFloridaMarketPlace Sourcing Event via the SAP Business Network, with inquiries directed to Sharita Newman, Procurement Officer at the Florida Department of Corrections in Tallahassee.

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Text version

FORM 3 - STATEMENT OF NO INVOLVEMENT

FDC-ITN-27-022

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 .