10. Exhibit - Non-conflict of Interest - Respondent.pdf
PDF 152 KB Posted
- Attached to
- September Meat & Cheese Request for Quote
- Solicitation number
- DQ1 CAAA 2027000009 1
- Issued by
- Garfield County, Colorado
About this file
This is a Non-Conflict of Interest attestation form required by the Colorado Department of Corrections (CDOC) for respondents participating in the September 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 affirm they have no actual, potential, perceived, or apparent conflicts of interest and acknowledge their understanding that the CDOC Procurement Official serves as the custodian of records and has authority to remove them from the process at any time.
The attestation obligates respondents to refrain from distributing, selling, or sharing State information with third parties except as expressly authorized, and requires immediate notification to the Procurement Agent if any situation arises that could alter the representations made or create an appearance of conflict or impropriety. Respondents certify they are employees of private employers or independent contractors with the State of Colorado and acknowledge receipt of procurement information in such capacity. The form requires signature and printed name of an authorized signer along with the company name or doing business as designation.
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Text version
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 .