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

PDF 211 KB Posted

Attached to
Freezer Compressor Repair
Solicitation number
DQ1 CAAA 2026000471 3
Issued by
Garfield County, Colorado

About this file

This is a Non-Conflict of Interest certification form required by the Colorado Department of Corrections for the Freezer Compressor Repair contract opportunity in Colorado. The form mandates that all bidders 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. Bidders must affirm the absence of any actual, potential, perceived, or apparent conflicts of interest and acknowledge their understanding that the CDOC Procurement Official retains authority to remove them from the process as deemed appropriate. The completed document must be returned with the bid submission.

Signatories confirm they understand their role as either a private employer employee or independent contractor under State of Colorado contract and acknowledge restrictions on the distribution, sale, or sharing of State information and records accessed during the bidding process. Bidders commit to immediately notifying the Procurement Agent if any situation arises that could alter previous representations or create an appearance of conflict or impropriety. The form requires the printed name and signature of an authorized representative and the company name or doing business as designation.

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Text version

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 .