12-Attachment F. Conflict of Interest.pdf
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- Solicitation number
- RFP-2025-028
- Issued by
- Milwaukee County, Mattoon Village, Wisconsin
About this file
This document is a Conflict of Interest Stipulation form for Milwaukee County, designed to prevent potential conflicts of interest in the procurement process. The form requires vendors submitting a proposal in response to an RFP to disclose whether any Milwaukee County employee, agent, representative, or their immediate family members are also owners, officers, employees, agents, or representatives of the business submitting the proposal.
The form provides a straightforward YES/NO checkbox mechanism for vendors to declare any potential conflicts of interest. If a conflict exists, the vendor must provide details including the name of the individual, their position with Milwaukee County, and their relationship to the business. The form must be signed and dated by an authorized corporate representative, ensuring transparency and accountability in the vendor selection process.
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Text version
ATTACHMENT F
CONFLICT OF INTEREST
STIPULATION
For purposes of determining a possible conflict of interest, all vendors submitting a proposal in response to this RFP must disclose if any Milwaukee County employee, agent or representative or an immediate family member of any Milwaukee County employee, agent or representative is also an owner, officer, employee, agent or representative of the business submitting the proposal.
Please answer below either YES or NO to the question of whether any Milwaukee County employee, agent or representative or immediate family member is also an owner, officer, employee, agent or representative of your business:
YES _______________
NO _______________
If the answer to the question above is YES, then identify the name of the individual, the individual’s position with Milwaukee County, and the individual’s relationship to your business:
Name _______________________________________________________________________
County Position________________________________________________________________
Business Relationship ___________________________________________________________
The appropriate corporate representative must sign and date this Conflict of Interest Stipulation below:
Printed Name __________________________________________________________________
Authorized Signature ___________________________________________________________
Title __________________________________________________________________________
Date __________________________________________________________________________
File details come from the government source that posted it. Updated .