6. Exhibit E - Non-Conflict of Interest.pdf

PDF 211 KB Posted

Attached to
Freezer Compressor Repair
Solicitation number
DQ1 CAAA 2026000471 2
Issued by
Garfield County, Colorado

About this file

This is a Non-Conflict of Interest declaration form required by the Colorado Department of Corrections for bid submission. Bidders must certify compliance with Colorado Revised Statutes sections 18-8-302, 18-8-306, 18-8-301, and 18-8-308, as well as the State of Colorado State Controller Policy on Procurement Conflicts of Interest. The document requires authorized signers to affirm they have no actual, potential, perceived, or apparent conflicts of interest related to the procurement opportunity and understand that the CDOC Procurement Official serves as the custodian of any state information or records accessed during the bidding process. Bidders must also acknowledge that information shall not be distributed, sold, shared with third parties, or used except as expressly authorized.

Signers must confirm they have no personal or beneficial interest in the services or property described in the solicitation and commit to notifying the Procurement Agent immediately should any situation arise that could alter these representations or create the appearance of conflict or impropriety. The form applies to employees of private employers or independent contractors under contract with the State of Colorado. Bidders must complete and return this document with their bid submission, and the Procurement Official retains the authority to remove any participant from the process as deemed appropriate.

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EXHIBIT E

COLORADO DEPARTMENT OF CORRECTIONS

STATE OF COLORADO

NON-CONFLICT OF INTEREST

(You must complete and return this document with Bid)

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 .