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

169 KB Posted

Attached to
Fresh Produce - Request for Quote
Solicitation number
DQ1 CAAA 2026000501 2
Issued by
Garfield County, Colorado

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This is a Non-Conflict of Interest certification form required by the Colorado Department of Corrections for bidders participating in a Fresh Produce Request for Quote procurement. The form mandates that all authorized signers acknowledge compliance with Colorado Revised Statutes 18-8-302, 18-8-306, 18-8-301, and 18-8-308, as amended, and certify they have reviewed the State of Colorado State Controller Policy on Procurement Conflicts of Interest. Bidders must affirm they have no actual, potential, perceived, or apparent conflicts of interest and confirm they do not have any personal or beneficial interest in the services or property described in the procurement.

The form establishes that the CDOC Procurement Official serves as the custodian of records and retains sole discretion to remove participants as deemed appropriate, though participants may request removal at any time subject to approval or denial. Signatories acknowledge that as participants they may have access to State information and records, which shall not be distributed, sold, shared with third parties, or used except as expressly authorized. Bidders are required to notify the Procurement Agent immediately if any situation arises that could alter prior representations or create the appearance of conflict or impropriety. The document must be completed and returned with the bid submission.

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Other files

File Type Posted
7. Attachment 1 - PO Terms & Conditions.pdf PDF
5. Exhibit E - Contract Performance Outside of the US.pdf PDF
3. Exhibit C - W-9 Request for Taxpayer ID Number.pdf PDF
4. Exhibit D - Produce Price Proposal.xlsx XLSX spreadsheet
8. Attachment 2 - Insurance Information.pdf PDF
0. DQ 2026000501 -Fresh Produce.pdf PDF
2. Exhibit B - Required Vendor Information - Goods.pdf PDF
1. Exhibit A - SOW, Specifications, Bidder Response-Fresh Produce.pdf PDF

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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 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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