FORM 4 - Business Experience.pdf

PDF 83 KB Posted

Attached to
Operation and Management of Contractor-Operated Correctional Facilities – Lake City CF
Solicitation number
ITN-12132
Issued by
Clay County, Florida

About this file

The document is a Form 4 - Business Experience form issued by the Florida Department of Corrections (FDC) for Invitation to Negotiate (ITN) number FDC-ITN-25-071, seeking a contractor for the Operation and Management of Contractor-Operated Correctional Facilities. The form is designed to allow potential respondents to demonstrate at least ten years of experience providing similar correctional facility management services. The form requires detailed information for multiple references, including company name, contact person, address, contract period, and a brief summary of services, with strict guidelines about who can be listed as a reference.

The form includes specific restrictions on reference contacts, prohibiting current or former FDC employees, current or former employees of the respondent's organization, board members, relatives, foreign corporations, and individuals involved in drafting the ITN or procurement process. The Department reserves the right to contact these references to obtain additional information about past performance, which may be used to determine whether the respondent qualifies as a "Responsible Vendor" as defined in Florida Statute 287.012(25). The form provides space for documenting three separate experiences, allowing respondents to comprehensively showcase their relevant operational history in correctional facility management.

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Text version

FORM 4 – BUSINESS EXPERIENCE

FDC-ITN-25-071

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-25-071

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

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

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