6. Exhibit F - Non-Conflict of Interest.pdf
PDF 116 KB Posted
- Attached to
- Coiled Aluminum - CCi
- Solicitation number
- RFP CFAA 2027000091 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 (CDOC) for submission with bids. The document requires bidders or their authorized representatives to certify compliance with specific 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. Signatories must affirm that no actual, potential, perceived, or apparent conflicts of interest exist and acknowledge understanding that the Procurement Official has authority to remove them from the process. The form also requires acknowledgment that participants may have access to State information and records, which must not be distributed, sold, shared with third parties, or used except as expressly authorized, with the CDOC Procurement Official serving as custodian of such records.
The certification obligates signatories to immediately notify the Procurement Agent if any situation arises that could alter previous representations or create the appearance of conflict or impropriety. The form requires completion and return with the bid submission and must be signed by an authorized representative, with spaces provided for the printed name of the signer and the company name or doing business as (dba) designation. The signatory must attest that they are either an employee of a private employer or an independent contractor under contract with the State of Colorado, and that they are receiving information in such capacity.
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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 .