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

169 KB Posted

Attached to
Fresh Produce - Request for Quote
Solicitation number
DQ1 CAAA 2027000001 1
Issued by
Garfield County, Colorado

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This is a Non-Conflict of Interest declaration form required by the Colorado Department of Corrections for participants in the Fresh Produce Request for Quote procurement process. The form mandates that all authorized signers certify compliance with Colorado Revised Statutes sections 18-8-302, 18-8-306, 18-8-301, and 18-8-308, as well as the State of Colorado State Controller Policy on Procurement Conflicts of Interest. Bidders must affirm the absence of actual, potential, perceived, or apparent conflicts of interest and confirm they have no personal or beneficial interest in the services or property described in the procurement opportunity.

The document establishes that bidders understand the Procurement Official's authority to remove them from consideration and that bidders may request removal at any time at the Official's discretion. Bidders acknowledge receipt of State information and records in their capacity as private employers or independent contractors and agree such information shall not be distributed, sold, shared with third parties, or used except as expressly authorized. Bidders must commit to immediately notifying the Procurement Agent if any situation arises that could alter their representations or create the appearance of conflict or impropriety. The completed and signed form must be returned with the bid submission.

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Other files

File Type Posted
5. Exhibit E - Contract Performance Outside of the US.pdf PDF
8. Attachment 2 - Insurance Information.pdf PDF
0. DQ 2027000001 -Fresh Produce.pdf PDF
7. Attachment 1 - PO Terms & Conditions.pdf PDF
2. Exhibit B - Required Vendor Information - Goods.pdf PDF
4. Exhibit D - Produce Price Proposal.xlsx XLSX spreadsheet
3. Exhibit C - W-9 Request for Taxpayer ID Number.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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