6. Exhibit F - Non-Conflict of Interest.pdf
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- Attached to
- Fresh Produce - Request for Quote
- Solicitation number
- DQ1 CAAA 2027000165 1
- Issued by
- Garfield County, Colorado
About this file
This document is a Non-Conflict of Interest form required by the Colorado Department of Corrections for a Fresh Produce Request for Quote. The form mandates that bidders certify compliance with Colorado Revised Statutes 18-8-302, 18-8-306, 18-8-301, and 18-8-308, and affirm adherence to the State of Colorado State Controller Policy on Procurement Conflicts of Interest. Bidders must confirm they have no actual, potential, perceived, or apparent conflicts of interest related to the services or property described in the procurement. The form establishes that the Procurement Official has the authority to remove bidders from consideration and that bidders may request removal at any time, subject to approval or denial by the Procurement Official.
Bidders must acknowledge receipt of state information and understand that such information is confidential and may not be distributed, sold, or shared with third parties except as expressly authorized. Signatories must declare they have no personal or beneficial interest in the described services and commit to immediately notifying the Procurement Agent of any circumstances that could create conflicts of interest or appearance of impropriety. The form requires completion and return with the bid submission and must be signed by an authorized representative of the bidding company or independent contractor. This document serves as a mandatory compliance requirement for participation in the Fresh Produce procurement process.
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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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