FORM 4 - Business Experience.pdf
PDF 84 KB Posted
- Solicitation number
- ITN-17259
- Issued by
- Santa Rosa County, Florida
About this file
This is a Business Experience form (Form 4) required for the Florida Department of Corrections Invitation to Negotiate (ITN) FDC-ITN-27-022 for the operation and management of the Blackwater River Correctional Facility. Respondents must complete this form to demonstrate a minimum of ten (10) years of experience providing services similar to those sought in this procurement. The form requires submission of at least three business experience entries, each documenting a separate project or contract. Each entry must include the company name, contact person information, project address, contract period dates, and a brief summary of services provided. Contact persons listed cannot be current FDC employees, former FDC employees within the past three years, current or former employees of the respondent organization, board members, relatives, persons based solely in foreign countries, or individuals involved in drafting the ITN or procurement process; the same entity cannot be listed more than once.
The form serves as a means for the Florida Department of Corrections to verify past performance and determine vendor responsibility as defined in Florida Statutes Section 287.012(25). The Department reserves the right to contact the listed references to obtain additional information regarding the respondent's qualifications and past performance history. Submission must be made through the MyFloridaMarketPlace Sourcing Event via the SAP Business Network platform. Procurement inquiries should be directed to Sharita Newman, Procurement Officer, at Purchasing@FDC.MyFlorida.com with the solicitation number FDC-ITN-27-022 included in the subject line.
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Text version
FORM 4 – BUSINESS EXPERIENCE
FDC-ITN-27-022
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-27-022
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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