RFP 25-03_Attachment A.pdf
PDF 165 KB Posted
- Attached to
- Low-Code Application Development Services
- Solicitation number
- RFP-15318
- Issued by
- Polk County, Florida
About this file
This is a Vendor Financial Attestation form for RFP 25-03 Low-Code Application Development Services issued by the Florida Department of Citrus (FDOC). The attestation serves as a requirement for vendor eligibility determination under Florida Statute 287.012(25) and must be completed by an authorized representative of the responding vendor. The form establishes a baseline financial responsibility evaluation by requiring vendors to confirm five critical conditions: direct knowledge of the vendor's financial condition and operations, sufficient financial resources to honor short-term obligations with current payment status, adequate financial resources to sustain long-term obligations through the contract lifecycle, operations that generate income exceeding operating expenses, and demonstrated capacity to provide the specified commodities and contractual services. Each statement requires a yes or no response, and the authorized representative must sign and date the attestation under oath. Vendors must respond affirmatively to all five statements to qualify as a Responsible Vendor eligible for contract award.
The financial attestation is a standard pre-award compliance document with no pricing information, set-asides, or renewal options detailed within the form itself. The attestation does not contain information regarding incumbent vendors, current environment specifications, or funding sources and amounts. Rather, it functions as a screening mechanism to ensure that responding vendors possess the foundational financial viability and operational capacity necessary to undertake the development and deployment of a low-code application replacement system for the FDOC's legacy revenue system, which carries a total initial budget of $250,000 ($200,000 for development and $50,000 for data warehouse creation and system integration).
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Text version
RFP 25-03
Low-Code Application Development Services
Attachment A: Vendor Financial Attestation 1 of 1
Attachment A: Vendor Financial Attestation
Respondents shall complete and submit answers to the questions set forth below. To be eligible for Contract Award as a Responsible Vendor under section 287.012(25), F.S., Respondent must be able to respond “YES” to each statement below.
I, _____________________________________ am the ________________________________ of
(Authorized Representative’s Name) (Title)
_______________________________________, (the “Vendor”), and am authorized to represent and
(Vendor’s Legal Name) contractually bind Vendor. Having been duly sworn, I do hereby attest, to the best of my knowledge and belief, the following:
1. I have direct knowledge of the financial condition and operations of Vendor. ☐No ☐Yes
2. Vendor has sufficient financial resources to honor its short-term obligations and is current on all payments not in dispute.
☐No ☐Yes
3. Vendor has financial resources sufficient to honor its long-term obligations and remain in business over the life of the Contract.
☐No ☐Yes
4. Vendor’s operations generate income which exceeds Vendor’s operating expenses.
☐No ☐Yes
5. Vendor has the capacity to provide the commodities and/or contractual services as specified in the Contract document, the solicitation, and the response.
☐No ☐Yes
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