NOTICE OF NO CONFLICT OF INTEREST FORM.pdf

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Attached to
ITB DMS-2223-124 Chiller Inspection Services
Solicitation number
ITB-05679
Issued by
Leon County, Florida

About this file

This document is a Notice of No Conflict of Interest Form related to Invitation to Bid (ITB) No. DMS-22/23-124 for Chiller Inspection Services issued by the State of Florida, Department of Management Services' Division of Real Estate Development and Management. The form requires bidders to disclose any potential conflicts of interest, including any corporate officers, directors, or agents who are currently employed by the State of Florida or own a 5% or greater interest in the bidding company. The related contract opportunity is for establishing a contract to provide chiller inspection services for the State of Florida.

The pricing terms, set-asides, incumbent information, funding requirements, and other salient details are not provided in the given documents. This summary focuses on the key elements of the Notice of No Conflict of Interest Form and the associated contract opportunity for chiller inspection services.

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Text version

ITB No.: DMS-22/23-124 Chiller Inspection Services

NOTICE OF NO CONFLICT OF INTEREST FORM

Company Name

For the purpose of participating in the solicitation process and complying with the provisions of Chapter 112, Florida Statutes, the company states as follows conflicts of interest exist as noted below (if none, write N/A in the applicable section(s) below):

The persons listed below are corporate officers, directors, or agents and are currently employees of the State of Florida or one of its agencies:

The persons listed below are current State of Florida employees who own an interest of five percent (5%) or more in the company named above:

Name of Bidder’s Organization Signature of Authorized Representative and Date

Print Name

File details come from the government source that posted it. Updated .