Selection Committee Conflict of Interest Form.docx

The document is an "Evaluator's Statement of Independence and Non-Conflict of Interest" for a specific solicitation by the City of Palm Beach Gardens, Florida, regarding the Property and Casualty Insurance Program. It is signed by Beth Stuglik, a Selection Committee Member, who certifies that she does not have any conflicts of interest related to the solicitation. The statement outlines that the committee member will evaluate proposals independently, without communication with proposers, and ensure an unbiased and fair evaluation process. The document defines a conflict of interest as any financial or family relationship with a responding proposer that could influence the evaluation process.