RFP 25-03_Attachment B.pdf
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- 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 (Attachment B) for RFP 25-03 issued by the Florida Department of Citrus for Low-Code Application Development Services. The RFP seeks a qualified vendor to design and develop a replacement for FDOC's legacy revenue system using Microsoft Power Platform (PowerApps) and Azure Synapse to manage the agency's complete revenue lifecycle, including citrus fruit dealer licensing, sales reporting, automated assessment calculations, billing, reconciliation, and financial reporting. The project requires delivery through a structured Agile framework consisting of eight two-week sprints within a sixteen-week initial development phase, followed by one year of operational support with potential continuation through three additional one-year renewal periods. Critical deployment milestones include August 1, 2026, for public-facing portal readiness, November 1, 2026, for revenue collection functionality, and January 12, 2027, for full integration with Florida PALM. Proposals are due April 21, 2026, at 1:00 PM ET at the FDOC office in Bartow, Florida. The contract term runs from May 20, 2026, through June 30, 2027, with potential renewals extending to three additional years subject to Florida Citrus Commission approval.
The initial development budget is $200,000 for solution design, configuration, development, testing, and deployment, with an additional $50,000 allocated for creating a small Data Warehouse in Azure Synapse and integrating twelve outbound interfaces from Florida PALM. The evaluation criteria emphasize Cost Proposal (200 points), Technical Proposal (600 points), and Past Performance (200 points), with five points allocated as an incentive for small business participation. Vendors must be registered with MyFloridaMarketPlace and comply with Florida statutory requirements including E-Verify employment verification, nondiscrimination laws, public entity crime certifications, drug-free workplace attestations, and prohibitions on coercion for labor or services. The disclosure form requires authorized representatives to attest under oath regarding any civil litigation, criminal judgments, suspension from competitive processes, license suspensions, contract terminations for cause, bankruptcy proceedings, or major organizational changes within the past five years, with detailed written explanations and supporting documentation required for affirmative responses.
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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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