RFP 25-03_Attachment B.pdf
PDF 167 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 Responsibility Disclosure form from the Florida Department of Citrus (FDOC) for RFP 25-03 Low-Code Application Development Services. The document requires respondents to disclose whether, within the past five years, their organization has experienced civil litigation or settlements, criminal judgments or administrative actions, suspension or debarment from competitive processes, license or certification suspensions or revocations, contract terminations for cause, bankruptcy proceedings, or major organizational restructuring including changes in ownership or legal name. Proposals are due April 21, 2026, at 1:00 PM ET at the FDOC office in Bartow, Florida, with questions required by March 20, 2026, at 5:00 PM ET. An Intent to Award is anticipated on or about May 12, 2026. The contract term runs from May 20, 2026, through June 30, 2027, with potential renewal options extending up to three additional one-year periods subject to Florida Citrus Commission approval and satisfactory performance.
Vendors must provide written explanations and supporting documentation for any affirmative responses to the disclosure questions. The initial development budget is $200,000 for solution design, configuration, development, testing, and deployment, with an additional $50,000 allocated for data warehouse creation and system integration. Vendors must demonstrate financial capability and responsibility while complying with all State of Florida requirements, including E-Verify employment verification, nondiscrimination laws, public entity crime certifications, drug-free workplace attestations, and registrations with MyFloridaMarketPlace. No incumbent vendor information is specified in the solicitation materials. The project seeks a qualified vendor to develop a low-code Microsoft Power Platform application and Azure Synapse solution to replace FDOC's legacy revenue system, with critical deployment milestones including August 1, 2026, for portal readiness, November 1, 2026, for revenue collection functionality, and January 12, 2027, for full integration with Florida PALM.
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Text version
RFP 25-03
Low-Code Application Development Services
Attachment B: Vendor Responsibility Disclosure 1 of 1
Attachment B: Vendor Responsibility Disclosure
Respondents shall complete and submit answers to the questions set forth below. For each affirmative answer, Respondents shall provide a detailed, written explanation (1 page) relevant to the issue and attach copies of documents relevant to the written explanation(s) provided (unlimited pages). The Department reserves the right to request additional information, as needed, to determine a Respondent’s Responsibility pursuant to section 287.012(25), F.S.
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:
Within the past 5 years, has the vendor:
1. Been the subject of civil litigation or settlements? ☐No ☐Yes
2. Been subject to criminal judgments or administrative actions? ☐No ☐Yes
3. Been suspended or barred from participation in any competitive process or contract award?
☐No ☐Yes
4. Had any licenses or certifications suspended, revoked, or canceled? ☐No ☐Yes
5. Had any contracts or agreements terminated for cause? ☐No ☐Yes
6. Been the subject of bankruptcy proceedings? ☐No ☐Yes
7. Undergone a major change of organizational structure, ownership, or name? ☐No ☐Yes
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Date
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