10. Exhibit - Non-conflict of Interest - Respondent.pdf

152 KB Posted

Attached to
June Meat & Cheese - Request for Quote
Solicitation number
DQ1 CAAA 2026000418 1
Issued by
Garfield County, Colorado

About this file

Written by GovTribe AI ·

This is a Non-Conflict of Interest attestation form required by the State of Colorado Department of Corrections for respondents participating in the June Meat & Cheese Request for Quote procurement process. The form requires authorized signers to certify compliance with Colorado Revised Statutes sections 18-8-301, 18-8-302, 18-8-306, and 18-8-308, as well as the State of Colorado State Controller's Procurement Conflicts of Interest Policy. Respondents must confirm they have no actual, potential, perceived, or apparent conflicts of interest related to the procurement opportunity and understand the restrictions on use and distribution of State information accessed during the process.

The attestation obligates respondents to immediately notify the Procurement Agent of any situations that could alter their conflict representations or create an appearance of impropriety. Respondents further acknowledge that the CDOC Procurement Official serves as the custodian of records and that they are receiving confidential information either as an employee of a private employer or as an independent contractor with the State of Colorado. The form requires the printed name, signature, and company name or doing-business-as designation of an authorized signer to complete the submission.

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NON-CONFLICT OF INTEREST

I have read Colorado Revised Statutes, 18-8-302, 18-8-306, 18-8-301, and 18-8-308, as amended, and no violations of such provisions are present.

I have read the State of Colorado State Controller Policy – Procurement conflicts of Interest Policy (https://www.colorado.gov/pacific/osc/procurement-conflicts-interest-policy) and affirm I have no actual, potential, perceived or apparent conflicts of interest.

I understand the Procurement Official is empowered to remove me in any way he/she deems appropriate. I can request to be removed at any time, which can be granted or denied by the Procurement Official.

I understand that as a participant in this process I may have access to State information and/or records. The CDOC Procurement Official is the custodian of records. Information shall not be distributed, sold or shared with any third party or used in any way except as expressly authorized by

I do not have any personal or beneficial interest in the service or property described in the attached Colorado Revised Statutes.

If I should become aware of any situation, which might arise, that could alter any of the representations above or that might otherwise create the appearance of a conflict or other impropriety, I will notify the Procurement Agent immediately.

I am an employee of a private employer or an independent contractor under contract with the State of Colorado. I understand that I am receiving such information in such capacity.

Print Name of authorized signer and Signature of authorized signer

Print Company Name/dba

File details come from the government source that posted it. Updated .