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 requires an authorized representative of the responding vendor to affirm five key financial and operational statements under oath to qualify as a Responsible Vendor under Florida Statute 287.012(25). To be eligible for contract award, vendors must answer "YES" to all statements, including confirmation of direct knowledge of the vendor's financial condition and operations, sufficient financial resources to meet short-term and long-term obligations, operations that generate income exceeding operating expenses, and capacity to provide the specified commodities and contractual services. The form requires the authorized representative's signature, name, title, vendor legal name, and date of submission.
This attestation is a mandatory financial qualification document for the FDOC's RFP 25-03, which seeks a qualified vendor to design and develop a low-code application replacement for FDOC's legacy revenue system on the Microsoft Power Platform. The RFP has a total initial development budget of $200,000, with an additional $50,000 for data warehouse creation and system integrations. The contract period runs from May 20, 2026, through June 30, 2027, with potential renewal options for up to three additional one-year periods. Proposals were due April 21, 2026, at 1:00 PM ET in Bartow, Florida, with an anticipated Intent to Award on or about May 12, 2026. Vendors must be registered with MyFloridaMarketPlace and comply with all applicable Florida statutory requirements, including E-Verify verification and nondiscrimination laws.
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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
Signature
Date
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