Statement_of_Affirmation_and_Intent.pdf
PDF 91 KB Posted
- Attached to
- Commodity Processing Foods
- Solicitation number
- 011-DW-0325
- Issued by
- Polk County, Florida
About this file
This is a Statement of Affirmation and Intent document submitted by vendors in response to Bid Number 011-DW-0325 issued by the School Board of Polk County, Florida, for Commodity Processing Foods. The solicitation seeks vendors to process USDA commodity products into approved end products for delivery to the district's central warehouse located at 965 Highway 60E, Bartow, Florida. The processed products include applesauce cups in cinnamon and banana strawberry varieties, as well as fully cooked beef products such as meatballs and beef patties, all meeting USDA Child Nutrition Program standards. The bid deadline is February 3, 2025, at 3:00 PM (ET), with electronic submissions required through www.myvendorlink.com. The initial contract period begins July 1, 2025, for one year with potential extensions for four additional one-year periods.
The affirmation document requires respondents to certify that proposals are fair and made without fraud, collusion, or any agreements in restraint of competitive pricing. Vendors must confirm that no Board members, directors, or school employees own assets or have financial interests in the bidding entity, and that no management members are seeking employment or elected positions with the district. Respondents must acknowledge they have reviewed the scope of services, instructions, and terms of the RFP and commit to meeting or exceeding all specified requirements. The document must be notarized and executed by an authorized representative. Award will be based on the lowest total composite bid price by category, with three vendors recommended for award: Tyson Prepared Foods, Inc., JTM Provisions Co., Inc., and Peterson Farms Fresh LLC. The estimated annual contract value is $1,500,000, though this is not a guaranteed purchase amount. Vendors must maintain Commercial General Liability insurance of $1,000,000 per occurrence and ensure at least 51 percent of the final processed product consists of domestically grown agricultural commodities.
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Text version
Statement of Affirmation and Intent
TO: The School Board of Polk County, Florida, Purchasing Department
PROJECT: 011-DW-0325, Commodity Processing
DATE:
The undersigned, hereinafter called the respondent, declares that this proposal is, in all respects, fair and without fraud that it is made without collusion with any other vendor or official of the School Board of Polk County (District). Neither the Affiant nor the above named entity has directly or indirectly entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free competitive pricing in connection with the entity’s submittal for the above project.
The respondent certifies that no Board Member, Director, or any School Board Employee directly or indirectly owns assets or capital stock of the bidding entity, nor will directly or indirectly benefit by the profits or emoluments of this proposal.
The respondent certifies that no member of the entity’s ownership or management is presently applying for an employee position or actively seeking an elected position with the District. In the event that a conflict of interest is identified in the provision of services, the respondent agrees to immediately notify the District in writing.
The respondent further declares that he/she has carefully examined the scope of services, instructions, terms and conditions of this Request for Proposal and that respondent’s proposal is made according to the provisions of the RFP and that he/she will meet or exceed the scope of services, requirements, and standards contained in the Request for Proposal.
Corporate Name of Respondent (Typed) Address, City, Zip
Authorized Representative’s Signature Date Telephone Number
NOTARY PUBLIC:
State Of: County Of:
On this day of , 20 , before me appeared (name) sworn, did execute the foregoing document, and did state that he or she was properly authorized by (name of company)
, to execute the document and did so as his or her free act and deed.
Notary Public Signature:
Notary Name, Printed, Typed Or Stamped:
Commission Number: ________________ My Commission Expires:
Statement of Affirmation and Intent
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