6. Exhibit F - Non-Conflict of Interest.pdf
PDF 169 KB Posted
- Attached to
- Fresh Produce - Request for Quote
- Solicitation number
- DQ1 CAAA 2027000113 1
- 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 bidders participating in a Fresh Produce Request for Quote procurement process. The form mandates that authorized signatories certify compliance with Colorado Revised Statutes sections 18-8-302, 18-8-306, 18-8-301, and 18-8-308, and affirm adherence to the State of Colorado State Controller's Procurement Conflicts of Interest Policy. Bidders must declare the absence of any actual, potential, perceived, or apparent conflicts of interest and confirm they have no personal or beneficial interest in the services or property described in the solicitation. The document must be completed and returned with the bid submission.
The form establishes that bidders acknowledge the Procurement Official's authority to remove participants as deemed appropriate and grants bidders the right to request removal, subject to approval or denial by the Procurement Official. Bidders also recognize that participation in the procurement process may provide access to State information and records, which are custodied by the CDOC Procurement Official and must not be distributed, sold, shared with third parties, or used except as expressly authorized. Bidders agree to notify the Procurement Agent immediately upon becoming aware of any situation that could alter their conflict of interest representations or create an appearance of conflict or impropriety. The certification applies to employees of private employers and independent contractors operating under contract with the State of Colorado.
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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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