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

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Attached to
Boiler Chemicals & Treatment SRVS at CTCF - Documented Quote
Solicitation number
DQ1 CAAA 2027000082 2
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 bid submission. The document requires bidders to certify compliance with Colorado Revised Statutes sections 18-8-302, 18-8-306, 18-8-301, and 18-8-308, and to affirm adherence to the State of Colorado State Controller Policy on Procurement Conflicts of Interest. Signatories must confirm they have no actual, potential, perceived, or apparent conflicts of interest and understand that the CDOC Procurement Official retains authority to remove them from the process at any time. Bidders acknowledge they may access State information or records during the procurement process and agree not to distribute, sell, or share such information with third parties except as expressly authorized.

The form requires authorized signatories to declare they have no personal or beneficial interest in the services or property described in the referenced statutes and commit to immediately notifying the Procurement Agent if any situation arises that could alter their representations or create an appearance of conflict or impropriety. Signers must identify themselves as employees of a private employer or independent contractors under contract with the State of Colorado and certify they are receiving such information in that capacity. Completion and return of this document with the bid submission is mandatory.

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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.

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 and Signature of authorized signer

Print Company Name/dba

File details come from the government source that posted it. Updated .