ITB_26-120_Authorized_Confidentiality_form.docx
DOCX document 539 KB Posted
- Solicitation number
- ITB 26-120
- Issued by
- Citrus County, Florida
About this file
This is an Authorized Confidentiality Form from Citrus County, Florida Board of County Commissioners, Department of Management & Budget Purchasing Section, related to ITB 26-120 for the Supervisor of Elections Clean Agent Suppression Systems project. The form requires authorized representatives to acknowledge receipt of the Construction Scope of Work document and certify their understanding that the documents are exempt from public disclosure. Signatories agree to maintain confidentiality of all project documents and to ensure that any subcontractors who receive the documents also maintain confidentiality and respect the public disclosure exemption. The project involves the furnishing and installation of five Inergen clean agent fire suppression systems in the Supervisor of Elections Office.
The confidentiality form serves as a prerequisite document for bid submission and establishes the legal framework for handling sensitive procurement information. Respondents must provide their company name, individual name and title, phone number, and signature along with the date of execution. This form protects the integrity of the bidding process by restricting access to the Scope of Work to qualified and authorized bidders who have agreed to maintain the confidentiality requirements set by Citrus County.
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Text version
Citrus County, Florida Board of County Commissioners Department of Management & Budget Purchasing Section 3600 W. Sovereign Path ● Suite 266 ● Lecanto, FL 34461 Telephone (352) 527-5457 ● Facsimile (352) 527-5424
I _________________________________________, have received the Construction Scope of Work, for the ITB 26-120 Supervisor of Elections Clean Agent Suppression Systems project. I understand that the documents are exempt from public disclosure and to be kept confidential.
I agree to keep these documents confidential.
I further agree that if I make the documents available to a subcontractor it will be my responsibility to ensure that the subcontractor maintains the confidentiality of the documents and exemption from public disclosure.
Respondent's Company Name:
By: ________________________________________________________________________ Signature
Name: _____________________________________________________________________ Print Name
Title: _______________________________________________________________________ Job Title
Phone No.: _____________________________
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