Prohibition_Against_Contingent_Fees.pdf
PDF 12 KB Posted
- Attached to
- Substance Abuse Treatment Services 2026
- Solicitation number
- 26-RFP-012
- Issued by
- Glades County, Brownsville CDP, Florida
About this file
This is a Prohibition Against Contingent Fees certification document required by the Flagler County Department of Health and Human Services in Florida for submission with proposals for Substance Abuse Treatment Services. The certification requires that respondent firms warrant they have not employed or retained any company or person, other than bona fide employees, to solicit or secure the agreement, and have not paid or agreed to pay any external party any fee, commission, percentage, gift, or other consideration contingent upon or resulting from the award of the contract. The statement must be duly signed, notarized, and executed by an authorized corporate officer in accordance with Florida Statute 287.055(6)(a).
The certification must include the respondent firm name, authorized signature and date, corporate officer name and title, and a notarized acknowledgment before a notary public of the state where the signatory resides. All notarial information including the notary's printed name, commission number, commission expiration date, and seal must be included on the document. This certification is a mandatory compliance requirement for all bidders responding to the Flagler County substance abuse treatment services solicitation, which offers minimum funding of $10,000 and maximum awards of $35,000 with potential one-year renewal options contingent on fund availability.
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Text version
PROHIBITION AGAINST CONTINGENT FEES:
In accordance with Florida Statute 287.055(6)(a), the following statement, duly signed and notarized, must be included in each proposal:
The firm, _______________________________________, warrants that he or she has not employed or retained any company or person, other than a bona fide employee working solely for the respondent to solicit or secure this agreement and that he or she has not paid or agreed to pay any person, company, corporation, individual, or firm, other than a bona fide employee working solely for the respondent any fee, commission, percentage, gift, or other consideration contingent upon or resulting from award or making of this agreement.
By ________________________________________ Date _____________ (Signature)
By ________________________________________ Corporate Officer Name & Title
STATE OF _____________________________
COUNTY OF ___________________________
Sworn to/affirmed and subscribed before me this ______ day of ________________________, 20____, by
_____________________________________________________, who is personally known to me or who has produced
_______________________________________________ as identification.
NOTARY PUBLIC – STATE OF ____________________
Type or print name:
Commission No.: __________________________________
Commission Expires: _______________________________
(Seal)
| The firm: |
| Date: |
| By_2: |
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