6. Exhibit F - Non-Conflict of Interest.pdf
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- Attached to
- Disturbance Control Items
- Solicitation number
- DQ1 CAAA 2027000147 1
- Issued by
- Garfield County, Colorado
About this file
This document is a Non-Conflict of Interest certification form required by the Colorado Department of Corrections for bid submission. The form obligates bidders to certify compliance with Colorado Revised Statutes sections 18-8-301, 18-8-302, 18-8-306, 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 actual, potential, perceived, or apparent conflicts of interest and acknowledge that the Procurement Official retains authority to remove participants as deemed appropriate. The form requires signature and completion of authorized signer name and company name/doing business as information, and must be returned with the bid submission.
The certification requires bidders to acknowledge their understanding that they may receive access to State information and records in their capacity as either private employer employees or independent contractors under State of Colorado contract, with the CDOC Procurement Official serving as records custodian. Bidders must commit to restricting information distribution and use to expressly authorized purposes only. The form includes a provision requiring immediate notification to the Procurement Agent if any situation arises that could alter the representations made or create the appearance of conflict or impropriety.
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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.
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 .