6. Exhibit F - Non-Conflict of Interest.pdf
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- Attached to
- Fresh Produce - Request for Quote
- Solicitation number
- DQ1 CAAA 2027000098 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 bidders participating in a Fresh Produce Request for Quote. The form must be completed and submitted with all bids. Bidders are required to affirm compliance with Colorado Revised Statutes 18-8-302, 18-8-306, 18-8-301, and 18-8-308, as amended, and certify they have reviewed the State of Colorado State Controller Policy on Procurement Conflicts of Interest. The signatory must declare they have no actual, potential, perceived, or apparent conflicts of interest and no personal or beneficial interest in the services or property described in the solicitation.
The form establishes that bidders understand the Procurement Official has authority to remove participants as deemed appropriate and that participants may request removal at any time, subject to approval or denial by the Procurement Official. Bidders acknowledge they may have access to State information and records, which must not be distributed, sold, or shared with third parties except as expressly authorized. Bidders must commit to notifying the Procurement Agent immediately if any situation arises that could alter their conflict of interest representations or create the appearance of impropriety. The form requires the signature and printed name of an authorized representative as well as the company name or doing business as (dba) designation.
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Text version
EXHIBIT F
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
| EXHIBIT F |
| 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 do not have any personal or beneficial interest in the service or property described in the attached Colorado Revised Statutes. |
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