proc_dispute_disclosure_form_1.pdf

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Attached to
2025 & 2026 Emergency Distribution, Transmission & Substation Restoration
Solicitation number
PR8347
Issued by
Florida

About this file

The document is a Dispute Disclosure Form for the Orlando Utilities Commission (OUC) associated with the 2025 & 2026 Emergency Distribution, Transmission & Substation Restoration contract opportunity. The form requires bidding firms to disclose critical information about their professional history, specifically focusing on three key areas: any reprimands or suspensions by regulatory agencies in the past five years, any contract defaults or terminations, and any litigation or contract claims related to their services. The form is designed to ensure transparency and accountability from potential contractors by requiring them to self-report any significant professional issues that might impact their ability to perform contract work.

The disclosure form serves as a critical risk assessment tool, allowing OUC to evaluate the reliability and professional standing of potential contractors before awarding the emergency restoration services contract. By requiring firms to disclose past professional challenges, OUC can make informed decisions about contractor selection. The form includes a certification statement that warns bidders that any misstatements or falsifications will result in forfeiture of contract consideration, thereby incentivizing complete and accurate reporting. Contractors must provide detailed explanations for any affirmative responses, including the nature of the issue, case description, outcomes, and any monetary or time-related impacts.

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Text version

DISPUTE DISCLOSURE for Solicitation #:_____________

Answer the following questions by placing an "X" in the appropriate "YES" or "NO" box. If you answer "YES", please explain In the space provided, or via attachment.

Has your firm, or any of its officers, received a reprimand of any nature or been suspended by the Department of Professional Regulation or any other regulatory agency or professional association within the last five (5) years?

YES NO

Has your firm, or any member of your firm, been declared in default, terminated or removed from a contract or job related to the services your firm provides in the regular course of business within the last five (5) years?

YES NO

Has your firm had filed against it or filed any requests for equitable adjustment, contract claims or litigation in the past five (5) years that is related to the services your firm provides in the regular course of business?

YES NO

If yes, state the nature of the request for equitable adjustment, contract claim or litigation, a brief description of the case, the outcome or status of suit and the monetary amounts or extended contract time involved.

I hereby certify that all statements made are true and agree and understand that any misstatement or misrepresentation or falsification of facts shall be cause for forfeiture of rights for further consideration of this project.

Firm Date

Authorized Signature Officer Title

Printed or Typed Name

Dispute Disclosure Form_v.1_160708

DISPUTE DISCLOSURE for Solicitation:
association within the last five 5 years: Off
business within the last five 5 years: Off
regular course of business: Off
Firm:
Printed or Typed Name:
Date:
Officer Title:

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