4-Certification of Absence of Conflict of Interest .docx
DOCX document 16 KB Posted
- Solicitation number
- 2026-GS-14
- Issued by
- Clayton County, Georgia
About this file
This is a Certification of Absence of Conflict of Interest form required by the Clayton County Water Authority (CCWA) in Georgia for contractors or consultants entering into agreements to prepare or develop specifications, requests for bids, requests for proposals, purchase orders, or other solicitations. The form applies to the Switchgear Preventative Maintenance and Overload Testing contract opportunity, which supports CCWA's 24/7 operations of water supply, treatment, distribution, and storage facilities throughout Clayton County. Contractors must acknowledge compliance with CCWA policies and procedures and certify their commitment to avoiding any appearance of impropriety related to the project.
The certification requires contractors to immediately disclose any material transactions or relationships that could create conflicts of interest, including those involving the contractor's employees, agents, subsidiaries, past or present engagements, litigation involvement, client relationships, or other business or financial interests. Contractors must provide complete disclosure information on the form, including the contractor's name, authorized official name and signature, and date. Violations or threatened violations of this certification may result in irreparable injury claims and entitle CCWA to seek injunctive relief and pursue all other available legal remedies. Any person may bring an action to declare purchases null and void or seek injunctive relief and damages against parties making solicitations in violation of applicable Georgia Code sections.
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Text version
Division 3 Contract Forms Section 3: Certification of Absence of Conflict of Interest Required for each contract or arrangement to prepare or develop specifications or requirements (O.C.G.A. § 36-80-28) The undersigned Contractor (Consultant), who is entering into a contract or arrangement with the Clayton County Water Authority (CCWA) to prepare or develop specifications or requests for bids, requests for proposals, purchase order, or any other type of solicitation for CCWA, by signing below acknowledges and certifies to follow the requirements below:
(1) Contractor shall avoid any appearance of impropriety and shall follow all of CCWA’s policies and procedures related to the project.
(2) Contractor shall immediately disclose to CCWA any material transaction or relationship, including, but not limited to the Consultant, Consultant’s employees, agents or subsidiaries, that reasonably could be expected to give rise to a conflict of interest, including, but not limited to, past, present, during the pendency of the contract or arrangement, or known prospective engagements, involvement in litigation or other dispute, client relationships, or other business or financial interest.
(3) Contractor acknowledges that any violation or threatened violation of the agreement may cause irreparable injury to CCWA entitling CCWA to seek injunctive relief in addition to all other legal remedies.
Any person may bring an action to declare null and void any purchase in violation of this Code section or to seek injunctive relief and damages against a person who makes any type of solicitation in violation of this Code section.
DISCLOSURES (Write “N/A” if Non-Applicable):
| _____________________________ | ________________________________ | |
| Name of Contractor | Name of Contractor’s Authorized Official |
| ________________________________ | |
| Signature of Contractor’s Authorized Official |
| ________________________________ | |
| Date |
File details come from the government source that posted it. Updated .