6. Exhibit F - Non-Conflict of Interest.pdf
PDF 116 KB Posted
- Attached to
- Documented Quote - Cameras & Accessories at SCCF
- Solicitation number
- DQ1 CAAA 2027000141 2
- Issued by
- Garfield County, Colorado
About this file
This is a Non-Conflict of Interest certification form from the Colorado Department of Corrections required for bid submission on a Documented Quote for Cameras & Accessories at SCCF (Sterling Correctional Facility) in Colorado. The document serves as a mandatory attestation that must be completed and returned with the bid submission. Bidders must certify compliance with specified Colorado Revised Statutes sections (18-8-302, 18-8-306, 18-8-301, and 18-8-308) and the State of Colorado State Controller Policy on Procurement Conflicts of Interest. The form requires the authorized signer to confirm they have no actual, potential, perceived, or apparent conflicts of interest related to the procurement opportunity.
The certification obligates the signatory to acknowledge their understanding that the CDOC Procurement Official retains authority to remove them from the procurement process at the official's discretion or upon written request. Signers must affirm that they will not distribute, sell, or share any State information or records accessed during the process with third parties except as expressly authorized. The document requires disclosure of any personal or beneficial interest in the services or property described and mandates immediate notification to the Procurement Agent if circumstances arise that could alter any representations made or create an appearance of conflict or impropriety. The form must be signed by an authorized representative and include the signatory's printed name and company name or doing-business-as 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.
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 .