FORM 4 - Business Experience.pdf
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- Solicitation number
- ITN-17169
- Issued by
- Palm Beach County, Florida
About this file
This is a Business Experience form (Form 4) required for the Florida Department of Corrections' Invitation to Negotiate (ITN-27-023) for the operation and management of contractor-operated correctional facilities, specifically the South Bay Correctional Facility. Respondents must complete this form to demonstrate a minimum of ten (10) years of experience providing similar services. The form requires vendors to document at least three separate contracts or projects, with each entry including company name, contact person information, contract period dates, and a brief summary of services provided. Contact references cannot include current or former FDC employees (within three years), current or former respondent employees, board members, relatives, foreign-based corporations, or individuals involved in drafting the ITN.
The Florida Department of Corrections reserves the right to contact listed references to verify past performance and determine whether the respondent qualifies as a "Responsible Vendor" under Florida Statutes section 287.012(25). Interested vendors must submit responses through the MyFloridaMarketPlace Sourcing Event via the SAP Business Network. The procurement officer is Sharita Newman, and all correspondence should reference the solicitation number in email subject lines and be directed to Purchasing@FDC.MyFlorida.com. This form serves as a critical evaluation component for assessing vendor qualifications and experience prior to contract award.
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Text version
FORM 4 – BUSINESS EXPERIENCE
FDC-ITN-27-023
Operation and Management of Contractor-Operated Correctional Facilities
Provide the information requested below. Print and complete this form as many times as needed to demonstrate at least ten (10) years of experience in providing services similar to those sought in this procurement. The Department may contact the persons listed below. The contact person cannot be:
a. Current employees of FDC.
b. Former employees of FDC within the past three (3) years.
c. Persons currently or formerly employed by the Respondent’s organization.
d. Board members of the Respondent’s organization.
e. Relatives.
f. Corporations based solely in a foreign country.
g. Any person involved in the drafting of this ITN or the procurement process.
The same entity may not be listed more than once.
In the event the Respondent has had a name change since the time work was performed for a listed reference, the name under which the Respondent operated at that time should be provided in the space provided for “Brief Summary of Services.”
The Department reserves the right to contact entities stated below to obtain additional information regarding past performance. Any information obtained as a result of such contact may be used to determine whether or not the Respondent is a “Responsible Vendor”, as defined in section 287.012(25), F.S.
Information Experience #1 Company name Contact Person Title Address
City State Telephone Number Email Address Contract Period (contract start date to contract end date)
Brief Summary of Services
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FORM 4 – BUSINESS EXPERIENCE
FDC-ITN-27-023
Operation and Management of Contractor-Operated Correctional Facilities
Information Experience #2 Company name Contact Person Title Address
City State Telephone Number Email Address Contract Period (contract
Information Experience #3 Company name Contact Person Title Address
City
State Telephone Number
Email Address
Contract Period (contract
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