6. Exhibit F - Non-Conflict of Interest.pdf
PDF 169 KB Posted
- Attached to
- Fresh Eggs - Request for Quote
- Solicitation number
- DQ1 CAAA 2026000525 1
- Issued by
- Grand County, Colorado
About this file
This is a Non-Conflict of Interest attestation form required by the Colorado Department of Corrections for bidders participating in a Fresh Eggs Request for Quote procurement. The document mandates that all authorized signers certify their compliance with Colorado Revised Statutes sections 18-8-302, 18-8-306, 18-8-301, and 18-8-308, as amended, and affirm they have no actual, potential, perceived, or apparent conflicts of interest as defined by the State of Colorado State Controller's Procurement Conflicts of Interest Policy. Bidders must acknowledge their understanding that the Procurement Official holds authority to remove participants as deemed appropriate and that participants may request removal at any time, subject to approval or denial by the Procurement Official. The form must be completed and returned with the bid submission.
Signatories confirm they have no personal or beneficial interest in the services or property described in the procurement and commit to immediately notifying the Procurement Agent should any situation arise that could alter their representations or create the appearance of conflict or impropriety. The attestation applies to private employers and independent contractors operating under contract with the State of Colorado, acknowledging their receipt of state information in such capacity. All bidders must provide printed name, authorized signature, and company name or doing business as (dba) information on the completed form.
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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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